Failure to Maintain Clear Means of Egress
Penalty
Summary
The facility failed to maintain the means of egress in compliance with NFPA 101 standards, as evidenced by two specific deficiencies. Firstly, during a document review, it was found that the headroom clearance of Exit Stairway Five leading to the attic was approximately 6'3", which is below the required minimum of 6'8". This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director. Secondly, observations revealed obstructions in the exit pathways on two different floors. On the second floor, storage was found on the lower landing of the exit stairwell by the RNAC Office. Additionally, trash was observed on the landing of the exit stairwell next to resident room 216, and storage was found on the lower landing of the exit stairwell near resident room 108 on the first floor. These obstructions were also confirmed during the exit interview with the facility's administration.
Plan Of Correction
I am requesting the Department of Health do the FSES in this case. Facility is consulting Lenhardt Rodgers Architecture to assist with this citation. The second-floor exit stairwell by the RNAC Office was cleaned from storage on the lower landing. Maintenance staff to be educated on the importance of maintaining means of egress. Maintenance to monitor monthly or until compliance is met. Findings will be brought to the QAPI committee. Trash was cleaned from landing on the second-floor exit stairwell next to room 216. Storage was removed from the exit stairwell lower landing near room 108. Maintenance staff to be educated on the importance of maintaining means of egress. Maintenance to monitor monthly or until compliance is met. Findings will be brought to the QAPI committee.