Fire Door Deficiency Due to Lack of Bottom Latching
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 the fire resistance rating of fire doors, which is a requirement for ensuring safety in multiple occupancies. During an observation on December 12, 2024, at 10:00 a.m., it was noted that a fire door on the first floor lacked bottom latching. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director at 10:30 a.m. on the same day.
Plan Of Correction
The first-floor fire door bottom latching was repaired. Maintenance staff to be educated on the importance of maintaining fire resistance rating of fire doors. Maintenance to monitor monthly or until compliance is met. Findings will be brought to the QAPI committee.