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

John J Kane Regional Center-Sc

PITTSBURGH, PA · 311 certified beds · Last Life Safety survey September 26, 2024

CMS Certification Number 395617 · first certified December 1983

Ownership

Independently operated (no chain recorded by CMS) · Government - County

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

13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within PA

13 citations — more than 61% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 4.5. 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 (August 2025 to September 2025), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was September 2024. 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)

4 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 13 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0908 Keep all essential equipment working safely.

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 facility13PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
42022-1052023-0942024-09
Citations at each Life Safety survey
Survey dateCitations
October 28, 20224
September 28, 20235
September 26, 20244

Most-cited tags

Most-cited tags at this facility
K-03533K-09202K-03742K-03241K-03631K-02911K-03551K-09121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32024-09-26
K-0920Ensure proper usage of power strips and extension cords.22024-09-26
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.22024-09-26
K-0324Provide properly protected cooking facilities.12022-10-28
K-0363Install corridor and hallway doors that block smoke.12024-09-26
K-0291Install emergency lighting that can last at least 1 1/2 hours.12022-10-28
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12023-09-28
K-0912Have power receptacles that are properly grounded.12023-09-28

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies4
Egress Deficiencies1

Every citation on file

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

September 26, 2024 — 4 citations

Citations issued on September 26, 2024
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 18, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (October 18, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (October 18, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 18, 2024)

September 28, 2023 — 5 citations

Citations issued on September 28, 2023
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 28, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 28, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (September 28, 2023)
K-0907Ensure medical gas and vacuum systems have documented maintenance programs.Deficient, Provider has date of correction (September 28, 2023)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (September 28, 2023)

October 28, 2022 — 4 citations

Citations issued on October 28, 2022
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (December 2, 2022)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 2, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 2, 2022)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 2, 2022)

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