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K0293
E

Exit Signage Obscured by Ceiling Mirror

Exeter, Pennsylvania Survey Completed on 12-10-2024

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 proper exit signage in accordance with NFPA 101 standards, specifically affecting one of two floors. During an observation on December 10, 2024, at 11:35 a.m., it was noted that the illuminated exit signage at the B Hall Nurse's Station was partially obscured by a ceiling mirror. This deficiency was confirmed during an exit interview with the Facility Administrator, Facilities Manager, and Regional Facilities Manager later that day.

Plan Of Correction

- The illuminated exit signage by B side nurses' station was moved to provide visibility. - The exit signage throughout the facility was assessed to ensure exit signage is not obscured. - Maintenance Director will be educated by NHA/designee to ensure illuminated exit signages are visible and unobscured. - Illuminated exit signage will be randomly audited monthly x3 by Maintenance Director/designee to ensure signage is unobscured and visible. Trends will be reviewed at QAPI monthly.

See complete original report
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