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H0009

Failure to Notify Health Department of Service Disruption

Beaver, Pennsylvania Survey Completed on 02-14-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to notify the Department of Health about a disruption of service, specifically regarding the inoperability of tap bells on the 2nd floor, 2 main, which had been non-functional for about a month. This deficiency was identified during a facility tour and confirmed through an interview with the Unit Manager and the Director of Nursing. The facility's documentation review revealed that no report was submitted to the Department of Health regarding this disruption, as required by regulation.

Plan Of Correction

1. Report for 2 main call light system was submitted to the department of health via electronic reporting system (#1075769). 2. An audit was conducted of outstanding work orders to ensure any service outages were reported to the department of health. No issues identified. 3. The administrator or designee will in-service the maintenance department on reporting service outages to administration so they can be reported to the department of health in a timely manner. 4. Administrator or designee will audit outstanding work orders weekly for 4 weeks to ensure any service outages are reported to the department of health. Audit findings will be shared with QAPI committee.

See complete original report
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