Health inspection·July 26, 2024

F 0836 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Based on a review of the results of facility water testing for safe drinking water and interviews with laboratory staff and facility staff it was determined the facility failed to comply with requirements from the Environmental Protection Agency (EPA) and Pennsylvania Department of Agriculture and Pennsylvania Drinking Water Information System (PADWIS) in conjunction with the Title 25 Pa. Code Chapter 109 Subchapter C Monitoring Requirements relating to Title 40, Code of Federal regulations 40 CFR. Findings included: According to the PADWIS the facility received violations regarding the failure to monitor/report routine samples for specific contaminates for 30 types of contaminates resulting in a violation for each contaminant on July 23, 2024. revealed that the facility was required to have SOC (synthetic organic chemical) testing of their drinking water. The SOC samples were to be performed once every three years during the second quarter of the year. The Lab Director stated that the SOC testing was not completed because the facility did not submit payment for the tests. A review of the facility laboratory results of water testing for the SOC tests revealed that they were last performed on April 20, 2021. As of July 26, 2024, the facility was overdue for the required 2024 SOC testing of the facility's drinking water. Interview with the facility's Chief Operating officer via telephone on July 26, 2024 at 12:30 PM revealed that the facility was making payments to the laboratory for outstanding balances and did not submit an additional payment for the required tests. According to the Commonwealth of Pennsylvania Title 25 Pa. Code § 109.301. General monitoring requirements: (B) The Department may decrease the quarterly monitoring requirement specified in clause (A) provided it has determined that the system is reliably and consistently below the MCL. For an initial detection of a SOC, the Department will not make this determination until the water system obtains results from a minimum of four consecutive quarterly samples that are reliably and consistently below the MCL. Page 1 of 2 395466 395466 07/26/2024 Milford Rehabilitation and Healthcare Center 264 Route 6 & 209 Milford, PA 18337

F 0836 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many (iii) Repeat monitoring for SOC's that are not detected. For entry points at which SOC's are not detected during the first year of quarterly monitoring, the required monitoring is reduced to one sample in each 3-year compliance period for systems serving 3,300 or fewer persons and to 2 consecutive quarterly samples in each compliance period for systems serving more than 3,300 persons. Reduced monitoring shall be conducted at 3-year intervals from the year of required initial VOC monitoring, in accordance with paragraph (5)(ii). The facility failed to comply with Federal, State and Local Laws regarding the timely completion of required drinking water testing to ensure the water was free from contaminants and safe for resident consumption and use in the facility. 28 Pa. Code 201.14 (a)(g) Responsibility of licensee. 28 Pa. Code 201.18 (b)(3)(e)(1)(2) Management. 395466 Page 2 of 2