Emergency Exit Discharge Deficiency
Penalty
Summary
The facility failed to maintain one of its six emergency exits in compliance with NFPA 101 standards. During an observation on February 11, 2025, at 11:52 a.m., it was noted that the emergency exit discharge near the laundry area did not have a hard-packed, all-weather travel surface leading to a public way. This deficiency was confirmed through an interview with the maintenance supervisor at the same time, indicating a lapse in maintaining the required exit discharge conditions.
Plan Of Correction
1. A wheel-chair width hard packed surface will be installed at the laundry exit. This exit is not used for resident egress. 2. The other emergency exits have been audited and meet requirements. 3. A monthly check of hard packed surfaces from exit doors will be performed by the maintenance supervisor or designee to ensure that they are in good repair. 4. QAPI's Safety Committee will oversee building services for action or review. Administrator to monitor.