Failure to Maintain Self-Closing Doors
Penalty
Summary
The facility failed to maintain doors with self-closing devices on both levels of the building, as observed during a survey conducted on December 18, 2024. Several doors intended to be self-closing were found propped open or not functioning correctly. Specifically, the staff lounge ice room door was propped open with a door wedge, the A Wing lining closet door did not latch, and the B wing break room door was held open with a trash bag tied from the door handle to a handrail. Additionally, the chapel door was propped open with a chair, the sprinkler/janitor room door had a large gap between the door and frame when latched, the basement storage door was propped open with an installed kick down door stop, and the C wing clean lining door was propped open with a door stop. These deficiencies were confirmed during an exit interview with the Facility Administrator, Administrator in training, and the Director of Maintenance.
Plan Of Correction
All doorways will be kept closed at all times. Maintenance will do daily audits each day times 30 days. Then they will do weekly checks times 60 days. All stops whether portable or installed have been removed. A new door latch has been installed on the door on A Wing. A door will be installed at the Sprinkler Room as we have been unable to fix the gap. This will be completed by 1/30/25.