Egress Obstruction Due to Missing Door Knob
Penalty
Summary
The facility failed to maintain the means of egress free of obstructions, which is essential for emergency situations. During an observation on February 10, 2025, at 10:40 a.m., it was noted that the doors leading to the Medical Records hallway were missing a door knob. This deficiency rendered egress impossible when the doors were closed, thereby obstructing the pathway. The issue was confirmed during an interview with the Facility Administrator and the Maintenance Director later that day at 12:30 p.m.
Plan Of Correction
1. Facility replaced the missing doorknob on the door leading to the medical records hallway. 2. The maintenance/designee will complete a weekly door audit on all doors for two months. Audits will continue annually. 3. The Nursing Home Administrator/designee will educate maintenance staff to ensure all egress doors have doorknobs and that all egress doors can properly close/open. 4. Any concerns will be reviewed during the Quality Assurance Performance Improvement committee.