Smoke Barrier Wall Penetration
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 smoke barrier walls, as evidenced by a penetration in the first floor smoke barrier wall next to a steel beam, above the smoke doors leading to the C2 Wing. This deficiency was observed on December 9, 2024, at 11:05 a.m. The issue affected two of the nine smoke compartments within the facility. During an interview conducted on the same day at 1:30 p.m., both the Facility Administrator and the Maintenance Director confirmed the presence of the smoke barrier penetration.
Plan Of Correction
1. Maintenance Director on 12/9/2024 sealed opening with 3M Fireblock caulking.