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K0923
E

Improper Storage of Oxygen and Gas Cylinders

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 maintain proper storage of oxygen and gas cylinders, as observed during a survey on December 18, 2024. Freestanding oxygen and gas cylinders were found in several locations, including the C wing oxygen room, the Activities Room, and the B Wing oxygen room. Specifically, three oxygen cylinders were observed in the C wing oxygen room, and two helium tanks were found in the Activities Room. Additionally, the door to the B Wing oxygen room was propped open using a full oxygen cylinder storage rack, indicating improper storage practices. During the exit interview with the Administrator, Administrator in training, and the Director of Maintenance, it was confirmed that the freestanding cylinders and the propped door were indeed present. This deficiency highlights the facility's failure to adhere to the NFPA 101 standards for gas equipment storage, which require specific storage conditions to ensure safety and compliance. The improper storage of these cylinders poses potential safety risks, as they were not secured or stored according to the required guidelines.

Plan Of Correction

All observations were corrected the same day as the survey. Maintenance will check weekly times one month for compliance and then will check quarterly. All audits will be documented in the Maintenance Log.

See complete original report
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