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

Normandie Ridge

YORK, PA · 64 certified beds · Last Life Safety survey August 8, 2024

CMS Certification Number 395902 · first certified July 1993

Ownership

Operated by ASBURY COMMUNITIES · Non profit - Corporation

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

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within PA

9 citations — more than 43% 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 3.5. 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 (June 2025 to August 2025), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was August 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)

2 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 9 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • 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 facility9PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
42022-1032023-1022024-08
Citations at each Life Safety survey
Survey dateCitations
October 13, 20224
October 5, 20233
August 8, 20242

Most-cited tags

Most-cited tags at this facility
K-02912K-01332K-02251K-03211K-05211K-01611K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0291Install emergency lighting that can last at least 1 1/2 hours.22024-08-08
K-0133Install a two-hour-resistant firewall separation.22023-10-05
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.12022-10-13
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-10-05
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12022-10-13
K-0161Use approved construction type or materials.12024-08-08
K-0918Have generator or other power source capable of supplying service within 10 seconds.12022-10-13

What the citations cover

Citations by CMS category
  • Construction Deficiencies 3
  • Egress Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Services Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Construction Deficiencies3
Egress Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies1
Services Deficiencies1
Smoke Deficiencies1

Every citation on file

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

August 8, 2024 — 2 citations

Citations issued on August 8, 2024
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (September 30, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (September 30, 2024)

October 5, 2023 — 3 citations

Citations issued on October 5, 2023
TagWhat the surveyor checksStatus
K-0133Install a two-hour-resistant firewall separation.Deficient, Provider has date of correction (October 26, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (October 26, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (October 26, 2023)

October 13, 2022 — 4 citations

Citations issued on October 13, 2022
TagWhat the surveyor checksStatus
K-0133Install a two-hour-resistant firewall separation.Deficient, Provider has date of correction (December 9, 2022)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (December 9, 2022)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (December 9, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 9, 2022)

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