Failure to Maintain Smoke-Tight Hazardous Area
Penalty
No penalty information released
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 hazardous areas as required by NFPA 101 standards. During an observation on December 3, 2024, at 10:46 a.m., it was noted that the door to the B wing storage room did not latch smoke tight, which is a requirement for hazardous areas. This deficiency affected one of the four smoke compartments in the facility. The issue was confirmed during an exit interview with the Administrator and Maintenance Director on the same day at 12:00 p.m.
Plan Of Correction
B wing storage door adjusted to latch smoke tight. Maintenance staff educated that storage room doors must latch smoke tight. Maintenance staff will audit 3 storage room doors to assure each door latches smoke tight and adjust/repair as necessary.