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K0325
E

Improper Installation of ABHR Dispensers Over Electrical Sources

Drums, Pennsylvania Survey Completed on 01-22-2025

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 comply with the NFPA 101 standards for the installation of Alcohol Based Hand Rub Dispensers (ABHR) in two resident rooms, affecting one of two floors. During an observation on January 22, 2025, it was noted that ABHR dispensers were improperly installed over electrical wall-mounted lights in Resident Room 12 and Resident Room 9. This installation does not meet the requirement that dispensers should not be installed within 1 inch of an ignition source. The deficiency was confirmed during an exit interview with the Facility Administrator and the Facilities Manager.

Plan Of Correction

1. The hand sanitizers were moved away from an electrical mounted light in rooms 9 and 12. 2. Whole house audit of ABHR dispensers done for the facility to ensure that they are not found over electrical outlets. 3. The maintenance director was reeducated on the importance of moving ABHR dispensers away from electrical outlets. 4. NHA or designee will perform monthly audits to ensure no new dispensers are installed in accordance with NFPA 101 standards.

See complete original report
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