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K0371
C

Non-compliance with Smoke Compartment Size Requirements

Hatboro, Pennsylvania Survey Completed on 12-18-2024

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 comply with the NFPA 101 requirements for smoke compartments on one of its four smoke compartments. During an observation and document review conducted on December 18, 2024, it was found that the smoke compartments, specifically the front and back hallways, exceeded the maximum allowable size of 22,500 square feet. Additionally, the travel distance within these compartments surpassed the 200-foot limit from any point in the compartment to a door in the smoke barrier. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director, where it was acknowledged that the B Wing smoke compartment exceeded the specified size limit.

Plan Of Correction

Ken Walters, Director of Maintenance, will contact the Department of Health to request a FSES.

See complete original report
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