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K0325
E

Improper Installation of ABHR Dispenser

Philadelphia, 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 properly monitor the installation of alcohol-based hand rub dispensers (ABHR) on one of its five floors. During an observation on December 12, 2024, at 10:18 a.m., it was noted that an ABHR dispenser was installed directly over a light switch in the 3rd floor dining room. This placement is non-compliant with safety regulations, as it positions the dispenser too close to an ignition source. The issue was confirmed during an exit conference on the same day at 11:45 a.m. with the facility's administrator, maintenance representative, and regional facility representative.

Plan Of Correction

The hand sanitizer dispenser was removed. NHA educated the Maintenance Director on monitoring the location and installation of alcohol-based hand rub dispensers. An initial audit was completed to ensure location and installation of all alcohol-based hand rub dispensers. NHA/designee will audit weekly x 4, then monthly X 3. Findings will be reviewed in the monthly QAPI.

See complete original report
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