Pennsylvania Department of Health
EMMANUEL CENTER FOR NURSING AND REHAB AT MARIA JOSEPH MANOR
Building Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

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EMMANUEL CENTER FOR NURSING AND REHAB AT MARIA JOSEPH MANOR - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:Name: MAIN BUILDING 01 - Component: 01 - Tag: 0000

Facility ID# 3910302
Component 01
Main Building

Based on a Relicensure Survey completed on October 23, 2025, it was determined that Emmanuel Center for Nursing and Rehabilitation at Maria Joseph Manor was not in compliance with the following requirements of the Life Safety Code for an existing health care occupancy.

This is a one story, Type V (111), protected, wood frame building, with a partial basement, that is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD Subdivision of Building Spaces - Smoke Barrie:

Subdivision of Building Spaces - Smoke Barrier Construction
2012 EXISTING
Smoke barriers shall be constructed to a 1/2-hour fire resistance rating per 8.5. Smoke barriers shall be permitted to terminate at an atrium wall. Smoke dampers are not required in duct penetrations in fully ducted HVAC systems where an approved sprinkler system is installed for smoke compartments adjacent to the smoke barrier.
19.3.7.3, 8.6.7.1(1)
Describe any mechanical smoke control system in REMARKS.

Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0372

Based on observation and interview, it was determined the facility failed to maintain smoke barrier separation walls in two locations, affecting two of ten smoke compartments.

Findings include:

1. Observation on October 23, 2025, between 11:44 a.m., and 11:46 a.m., revealed the following:

a. 11:44 a.m., the smoke barrier separation wall lacks required half-hour integrity closest to Resident Room 135, due to a sheet metal patch that measures approximately 20 inches by twenty inches.
b. 11:46 a.m., a conduit penetration of the smoke barrier separation wall, located above the smoke barrier doors, closest to Resident Room 135.

Exit interview with the Facilities Manager on October 23, 2025, between 12:30 p.m., and 12:35 p.m., confirmed the smoke barrier separation wall deficiencies.

Plan of Correction - To be completed: 12/06/2025

1. Deficiencies related to fire rated sealant to penetration areas were corrected by facility maintenance on October 24, 2025.
2. Facility designee to conduct facility wide audit of fire rated sealant to penetration areas to ensure compliance.

NFPA 101 STANDARD Electrical Equipment - Other:

Electrical Equipment - Other
List in the REMARKS section any NFPA 99 Chapter 10, Electrical Equipment, requirements that are not addressed by the provided S-Tags, but are deficient.
Chapter 10 (NFPA 99)

Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0919

Based on observation and interview, it was determined the facility failed to maintain emergency electrical systems in one location, affecting one of one floor.

Findings include:

1. Observation on October 23, 2025, at 12:10 p.m., revealed the remote annunciator was blocked by a cart at the Nurse's Station location.

Exit interview with the Facilities Manager on October 23, 2025, between 12:30 p.m., and 12:35 p.m., confirmed the remote annunciator deficiency.

Plan of Correction - To be completed: 12/11/2025

1. Deficiency was corrected by facility designee day of inspection; facility assured emergency electrical systems were unobstructed.
2. Facility designee to conduct facility wide audit of access to emergency electrical systems areas to ensure compliance.

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