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K0161
C

Non-compliance with Building Construction Requirements

Jefferson Hills, Pennsylvania Survey Completed on 03-18-2025

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 was found to be non-compliant with building construction requirements as it is a two-story, Type III (200), unprotected ordinary structure with a basement and attic, which is fully sprinklered. According to the NFPA 101 standards, this type of construction is not permitted to exceed one story in height. This deficiency was identified during an observation on March 17, 2025, at 8:45 a.m. An interview with the facility's Owner, Administrator, and Maintenance Director later confirmed that the building construction type did not meet the necessary requirements for an existing health care building.

Plan Of Correction

I. New owner will have an architect review the blueprint and construction plan of the building in order to determine a solution to correct the deficiency for building construction. II. After architectural review, the facility will be able to determine a date for correction of deficiency. III. Director of Maintenance/Designee will monitor progress of correcting the deficiency for building construction. IV. Progress will be reported to the Quality Assurance Committee monthly for tracking and trending purposes. V. Facility will be submitting a request for a one time waiver.

See complete original report
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