Failure to Maintain Corridor Door Latching
Penalty
Summary
The facility failed to maintain corridor doors in compliance with NFPA 101 standards, as observed during a survey on December 30, 2024. Specifically, three corridor doors in different smoke compartments did not latch properly, which is a requirement to resist the passage of smoke. The doors in question included the door to Patient Laundry in the 400 Hallway, the door to room 507, and the door to the Soiled Utility in the 800 hallway. The latter door's failure to latch was due to tape covering the striker plate, which impeded its proper function. These deficiencies were confirmed through an interview with the Facility Administrator and Maintenance Director on the same day. The inability of these doors to latch compromises the facility's ability to contain smoke in the event of a fire, which is a critical safety measure in long-term care settings. The report does not mention any corrective actions taken by the facility to address these issues at the time of the survey.
Plan Of Correction
NHA/Designee will educate the Maintenance Director/Maintenance staff NFPA requirements corridors - doors. Maintenance has repaired the Patient laundry door, room 507 and the Soiled Utility on the 800 hall. Maintenance staff will conduct a weekly audit of all corridor doors to make sure all doors latch properly.