Obstructed Exit Access Corridors
Penalty
Summary
The facility failed to maintain clear and unobstructed exit access corridors in two of seven smoke compartments. During an observation conducted on February 12, 2025, between 12:30 PM and 1:30 PM, various items were found stored in the egress corridors. Specifically, soiled-linen containers were located between Resident Rooms 226 and 228 on the 2nd floor at 12:30 PM, trash containers were found between Resident Rooms 222 and 224 on the 2nd floor at 1:05 PM, and an isolation cart without signage was positioned outside Resident Room 121 on the 1st floor at 1:30 PM. An interview with the Director of Maintenance confirmed the facility's failure to keep the corridors clear and unobstructed.
Plan Of Correction
1. Facility cannot retroactively correct this concern. Sign was obtained for the isolation cart when it was observed to be missing. 2. Education will be provided to staff on storage of trash containers, and isolation carts needing signage. 3. Maintenance director/designee will complete audits of corridors to ensure trash containers are not stored in corridors, and all isolation carts have signs. Audits will be 3x/week x 4 weeks, then 5x monthly x 2 months to ensure compliance. Audits will be reviewed at QAPI to ensure compliance.