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H0009

Failure to Notify Health Department of Heating System Disruption

Lower Burrell, Pennsylvania Survey Completed on 12-12-2024

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 significant disruption of service due to a disaster, specifically the malfunction of the therapy gym's heating system. The documentation reviewed on December 12, 2024, revealed that the heating system was not operational, and the facility had to monitor temperatures in the therapy gym. When temperatures fell below 71 degrees, therapy sessions for residents were relocated to alternative locations. The heating system was eventually replaced on December 9, 2024. During an interview on December 12, 2024, the Nursing Home Administrator (NHA) confirmed that a purchase order for a new heating system was made in November, and the replacement occurred in the week of the interview. However, the NHA acknowledged that the facility did not notify the Department of Health about the significant disruption of service caused by the heating system failure, which is a requirement under the regulation.

Plan Of Correction

Immediate Action: The report was placed to the DOH ERS during the survey with the surveyor on 12/12/2024. Education: The NHA and Maintenance Director were educated on the DOH reporting guidelines. Audits: Walking rounds will be completed 3 times weekly for 3 weeks and monthly times 1 month to ensure all utilities are in good working order.

See complete original report
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