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K0374
E

Failure to Maintain Smoke Barrier Doors

Pittsburgh, Pennsylvania Survey Completed on 02-06-2025

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 smoke barrier doors, which is a requirement for the subdivision of building spaces according to NFPA 101 standards. During an observation on February 6, 2025, at 10:30 a.m., it was noted that the smoke barrier doors near the kitchen on the eighth floor were removed. This deficiency affected two out of twelve smoke compartments. An interview with the Facility Administrator and Maintenance Director later that day confirmed the absence of the smoke barrier doors, resulting in an incomplete smoke wall.

Plan Of Correction

Smoke barrier doors will be replaced by 3/21/2025. House audit was completed to ensure that no other smoke barrier doors need to be replaced. Monthly audit of smoke doors conducted by the Maintenance Director or designee. The administrator or designee will reeducate Maintenance Director on Smoke Barrier doors - K374. Results will be reported to Quality Assurance and Performance Improvement committee meetings.

See complete original report
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