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K0100
C

Failure to Update Carbon Monoxide Alarm Policies

Philadelphia, Pennsylvania Survey Completed on 12-23-2024

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 was found deficient in updating its policies in accordance with the 2016 Act 48 - Care Facility Carbon Monoxide Alarms Standards Act. During a document review on December 23, 2024, it was discovered that the facility did not have a carbon monoxide alarm evacuation plan in place. This deficiency affects the entire facility. The lack of documentation was confirmed during an exit interview with the Assistant Administrator and the Maintenance Director.

Plan Of Correction

Carbon monoxide alarm evacuation plan has been completed. NPE/designee will re-educate maintenance staff on timely completion of carbon monoxide evacuation. Maintenance dir/designee will complete monthly x3 to ensure annual full scale/table to review exercise. Maintenance Director will report the findings of the audits to the QAPI Committee X 3 months.

See complete original report
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