Health inspection·January 14, 2025

F 0908 Keep all essential equipment working safely. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on the staff interviews, reviews of facility documents and observation, it was determined that the facility failed to ensure that air temperatures were maintained in two of two resident rooms observed (room [ROOM NUMBER] and room [ROOM NUMBER] Residents Affected - Few Findings include: The Facility policy titled Air Temperature last revised 11/24/2020 revealed The facility is required to maintain an ambient temperature throughout residents and patient areas in temperature range of 71-81 degrees Fahrenheit (F) or at more restrictive range requirement by state or local requirements. On January 14, 2025, at approximately 9:20 a.m., an interview with Administrator Employee E1 revealed that the facility experienced a malfunctioning central heater in the first south hallway, which provides heat to the hallway. During maintenance checks, it was discovered that PTAC units in Rooms 239, 119 were not functioning. The windows were covered with plastic. Further investigation into the central heating issue revealed that the rooftop unit supplying heat to the south hallway's high side was cracked and beyond repair. On January 14, 2025, at approximately 9:50 a.m. an inspection of air temperatures was conducted with maintenance technician, Employee E10 which revealed. The temperature in room [ROOM NUMBER] was recorded at 69°F. Resident R3 was not present in the room at the time. Although the heater was functioning, an air conditioning unit installed in the window had inadequate insulation, allowing cold air to enter the room. The maintenance technician took the air conditioning unit out and provided an adequate window isolation which raised the room temperature to 72F. room [ROOM NUMBER] -had overall room temperature of 72F; however, C bed which was located by the window had a 68F. Resident R5 was resigning in bed C and reported that it's cold by the window. On January 14, 2025, at approximately 10:30 a.m., Licensed Nurse Employee E5 was interviewed and stated that Resident R5 was recently moved from room [ROOM NUMBER]B to 239C to accommodate a larger space. However, it was noted that the new room's large window allows a draft, despite insulate. On January 14, 2025, at 11:25 a.m., a Maintenance Director, Employee E11 and Administrator, Employee E1 both confirmed that room [ROOM NUMBER] and 239C were out of compliance with heating temperatures requirements during the tour. Page 1 of 2 395687 395687 01/14/2025 York Nursing and Rehabilitation Center 7101 Old York Road Philadelphia, PA 19126

F 0908 28 Pa Code 201.14 (a) Responsibility of licensee. Level of Harm - Minimal harm or potential for actual harm 28 Pa Code 201.18 (b)(1) Management. Residents Affected - Few 395687 Page 2 of 2