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K0541
E

Fire Resistance Deficiency in Linen and Trash Chutes

Doylestown, Pennsylvania Survey Completed on 12-12-2024

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 the fire resistance of soiled linen and trash chutes, affecting two of four levels in the component. During an observation on December 12, 2024, it was noted that the door to the soiled linen chute on the third floor would not close and latch. Additionally, the trash chute door on the second floor also failed to latch. These deficiencies were confirmed during an exit interview with the Administrator and Maintenance Director on the same day.

Plan Of Correction

Latch was repaired for the third-floor door to the Soiled Linen chute. Latch was repaired for the trash chute door. Maintenance to be educated on maintaining the fire resistance of Soiled Linen and trash chutes. Maintenance to monitor monthly or until compliance is met. Findings will be brought to the QAPI committee.

See complete original report
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