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K0363
E

Failure to Maintain Positive Latching on Corridor Door

Hanover, Pennsylvania Survey Completed on 02-12-2025

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 corridor doors to positively latch in one of the seven smoke compartments. During an observation on February 12, 2025, at 1:15 PM, it was noted that the corridor door to Resident Room 207 on the second floor did not positively latch when closed. This deficiency was identified through both observation and interview, indicating a failure to comply with the requirement for corridor doors to resist the passage of smoke and to have positive latching hardware.

Plan Of Correction

Facility has repaired the door so it does positively latch. Facility has conducted an audit to ensure corridor doors were within compliance of regulation. Maintenance director/designee will conduct monthly inspections to ensure they positively latch. Audits will be reviewed at QAPI to ensure compliance.

See complete original report
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