Deficiency in Hazardous Area Enclosure
Penalty
No penalty information released
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 hazardous area enclosures in one of over five hazardous areas. During an observation on February 6, 2025, at 11:53 a.m., it was noted that the east wing lift storage room did not have a self-closing device on the door, which is required for a hazardous room enclosure. This deficiency was confirmed through an interview with the maintenance supervisor at the same time and date.
Plan Of Correction
The maintenance Director installed a self-closing device on 02/20/2025. The maintenance Director and team will monitor daily for 2 weeks and weekly for 3 months. Education was provided to staff and proper signage posted on door.