Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

FULTON COUNTY MEDICAL CENTER

MCCONNELLSBURG, PA · 67 certified beds · Last Life Safety survey April 17, 2025

CMS Certification Number 395387 · first certified February 1977

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Other

No change of ownership on CMS record since January 1, 2016, when the records begin.

8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within PA

8 citations — more than 39% of the 656 certified nursing homes in PA. Compared within PA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (February 2026 to April 2026), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was April 2025. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility8PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
22023-0642024-0522025-04
Citations at each Life Safety survey
Survey dateCitations
June 28, 20232
May 1, 20244
April 17, 20252

Most-cited tags

Most-cited tags at this facility
K-03533K-01312K-03551K-03631K-07121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-04-17
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.22024-05-01
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-05-01
K-0363Install corridor and hallway doors that block smoke.12025-04-17
K-0712Have simulated fire drills held at unexpected times.12024-05-01

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Construction Deficiencies 2
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Construction Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 17, 2025 — 2 citations

Citations issued on April 17, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 23, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 23, 2025)

May 1, 2024 — 4 citations

Citations issued on May 1, 2024
TagWhat the surveyor checksStatus
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (July 5, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 5, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (July 30, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 5, 2024)

June 28, 2023 — 2 citations

Citations issued on June 28, 2023
TagWhat the surveyor checksStatus
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (August 28, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 28, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.