Stair Tower Door Lacks Smoke-Tight Integrity
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 failed to maintain the smoke-tight integrity of an exit stair tower door, affecting both floors of the building. During an observation on February 4, 2025, at 11:32 a.m., it was noted that the door of the #2 stair tower on the first floor did not meet the required smoke-tight standards. This deficiency was confirmed during an exit interview with the Facility Administrator and the Facilities Manager later that day.
Plan Of Correction
K-0225 Smoke Enclosures 1. Stair Tower door was adjusted to close and meet smoke tight integrity. 2. Facility audit was completed of all doors. 3. Monthly Audits will be completed X4 months and then quarterly after with results reviewed in QAPI.