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K0363
D

Corridor Door Latching Deficiency

North Huntingdon, Pennsylvania Survey Completed on 01-28-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain corridor doors in compliance with NFPA 101 standards, specifically in one instance affecting one of ten smoke compartments. During an observation on January 28, 2025, at 9:40 a.m., it was noted that the door to Room 22 on the first floor did not latch when tested. This deficiency was confirmed through an interview with the Facility Administrator and Maintenance Director at 10:00 a.m. on the same day. The report highlights that the corridor doors are required to resist the passage of smoke and have positive latching hardware, as per CMS regulations. The failure of the door to Room 22 to latch properly indicates a non-compliance with these requirements, potentially compromising the safety measures intended to prevent the spread of smoke in the event of a fire.

Plan Of Correction

The facility will maintain all corridor doors in the facility. Hardware for the door of RM 22 was adjusted for the door to properly latch. An audit was completed of all corridor doors in the facility and no concerns were noted.

See complete original report
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