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K0211
E

Egress Obstruction Due to Ice Encapsulation

Wyndmoor, Pennsylvania Survey Completed on 01-27-2025

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 the means of egress free of obstructions, specifically affecting one of the four levels in the facility. On January 27, 2025, at 7:55 a.m., an observation revealed that the egress exit door leading from the emergency stairwell to the loading dock ramp, dumpsters, and parking lot was encapsulated in ice. This obstruction was caused by overnight interior building water damage that froze due to below 32-degree weather conditions. During an exit interview with the Administrator and Maintenance Director later that day, it was confirmed that the exterior egress walkway was encased in ice.

Plan Of Correction

1. The loading dock means of egress door was immediately salted again, and the ice melted. 2. Emergency exit doors audited to ensure egress remains free of all obstructions. 3. Education will be provided to ensure proper compliance with this regulation. 4. The loading dock means of egress door will be audited to ensure it remains free of all obstructions. Audit will be done 2x a month for 2 months and 1x a month for 1 month. 5. The findings of these quality monitoring's to be reported to the Quality Assurance/Performance Improvement Committee monthly x6 months.

See complete original report
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