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K0311
E

Failure to Maintain Fire Resistance Rating on Tenth Floor

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 fire resistance rating of vertical openings, specifically affecting the tenth floor. During an observation on February 4, 2025, at 10:40 a.m., it was noted that the rated access ceiling door in the Electrical Closet next to room 1020 did not self-close and latch as required. This deficiency was confirmed during an exit interview with the Maintenance Director at 1:00 p.m. on the same day.

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 other court proceedings. Spring will be reset on ceiling door to ensure latching and ability to close. Ceiling door will be monitored weekly for 1 Quarter by a maintenance department designee to ensure this condition is not replicated.

See complete original report
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