Obstruction in Exit Stairway
Penalty
Summary
The facility failed to maintain one of its six exit stairways free of storage, as required by NFPA 101: 2012 Edition, Sections 19.2.2.3, 19.2.2.4, and 7.2. During an observation conducted on December 4, 2024, in the presence of a U.S. FOIA representative, it was noted that two chairs were obstructing the path of egress in the physical therapy stairway. One chair was located on the middle landing, and another was on the lower level of the exit/egress stairs leading to the public way. This deficiency had the potential to affect 50 residents. In an interview at the time of the observation, the U.S. FOIA representative acknowledged that nothing should be stored in the stairway exits at any time. The findings were communicated during the Life Safety Code exit conference on the same day.
Plan Of Correction
1/15/25 Plan of Correction K0225 Level E Completion Date: 1/15/2025 Corrective Action: - 2 chairs removed from therapy stairwell. - Other stairwells were checked and no obstruction noted. ID Other Residents: - Any resident within the facility have the potential to be affected. Systemic Change: - In-service Stairwells Free of Obstruction to the Maintenance and Therapy Departments by the Maintenance Director completed on 12/20/24. Monitoring: - Audit - Obstruction in Stairwell will be completed on the following schedule: (4) quarterly x 3 quarter by the Maintenance Director. - Results of the audits will be brought to QA/QAPI on a quarterly basis xs 3 quarters.