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K0321
E

Unsealed Wall Penetrations in Soiled Utility Area

Northumberland, Pennsylvania Survey Completed on 12-16-2024

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 hazardous area enclosures as required by NFPA 101 standards. During an observation on December 16, 2024, at 10:05 a.m., it was noted that the Soiled Utility area on Unit 3 had unsealed penetrations in the wall around three copper pipes. This deficiency affects one of the two floors in the facility. The issue was confirmed during an exit interview with the Facility Administrator on the same day at 12:00 p.m.

Plan Of Correction

1. The penetration areas around the copper pipes were resolved with the application of a silicone caulk-filler. 2. Corrective action occurred on 12/16/24. 3. Administrator / Designee will educate maintenance staff on K321 and regarding hazardous area wall penetration issues. 4. Maintenance staff will conduct random inspections of other potential hazardous areas to determine that no other penetration issues are identified. Inspections to be done weekly x4 weeks and results submitted to the QA Committee.

See complete original report
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