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K0225
E

Failure to Maintain Smokeproof Enclosure in Stairwell

Philadelphia, Pennsylvania Survey Completed on 01-22-2025

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 smokeproof enclosure of a stairwell, specifically affecting one of the three levels. During an observation on January 22, 2025, at 1:15 p.m., it was noted that basement Stairway number 3 had a cleaning cart stored under the stairwell. This was confirmed during an exit interview with the Facility Administrator and Maintenance Director on the same day at 2:00 p.m.

Plan Of Correction

Storage cleaning cart has been removed from stairway #3. Maintenance conducted rounds and there were no other items stored under any stairs. Maintenance Director or Designee will conduct in-service education for housekeeping staff on the importance of adherence to 0225: Stairways and smoke proof enclosures. The Maintenance team will conduct environmental rounds weekly x 4 weeks to ensure compliance with fire codes, and State, federal and local regulations. Results will be reported on monthly QAPI.

See complete original report
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