Obstructed Means of Egress
Penalty
Summary
The facility failed to maintain the means of egress free of obstructions, as required by NFPA 101 standards. During an observation on January 30, 2025, at 9:55 a.m., it was noted that the ground floor exit next to the Admissions Office was blocked by boxes, carts, and a large indoor plant. This obstruction affected one of the three floors in the facility. The issue was confirmed during an exit interview with the Administrator and the Maintenance Director later that morning at 11:30 a.m.
Plan Of Correction
Step 1 Means of egress next to the admissions offices cleared. Step 2 The maintenance team checks all exits to ensure that all means of egress are free of obstruction. Step 3 Facility staff educated on the requirement to ensure that all exits are free of obstruction. Step 4 The maintenance director/ designee will audit all means of egress monthly x4 to ensure that they are free of obstruction. Findings will be reviewed during QAPI.