Evacuation Diagram Deficiency
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 was found to be deficient in maintaining proper evacuation diagrams across all three building levels. During an observation conducted on January 15, 2025, between 11:20 a.m. and 12:10 p.m., it was noted that the evacuation diagrams lacked a critical notation indicating the location of the viewer on the diagram. This deficiency was confirmed in an interview with the maintenance supervisor, who acknowledged that the diagrams did not show the viewer's location or the exit paths, as required by NFPA 170-11.2.4 and 11.4.1.
Plan Of Correction
1. Evacuation Diagrams have been updated to contain the notation showing the location of the viewer on the diagram.