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K0321
E

Deficiency in Door Maintenance to Hazardous Area

Lima, Pennsylvania Survey Completed on 02-04-2025

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 the integrity of doors to hazardous areas, specifically on the first floor. During an observation on February 3, 2025, at 10:35 a.m., it was noted that the entry door to the Clean Utility Room was missing a strike plate. This deficiency was confirmed during an exit interview with the Maintenance Director on February 4, 2025, at 1:00 p.m. The absence of the strike plate compromises the door's ability to function as a proper barrier in accordance with fire safety regulations.

Plan Of Correction

Preparation and submission of this POC is required by State and Federal Law. This POC does not constitute an admission for purposes of general liability, professional malpractice, or any court proceedings. New strike plate was installed and will be monitored monthly for one quarter by a maintenance department designee to ensure condition is not replicated.

See complete original report
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