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K0754
E

Non-compliance with Soiled Linen and Trash Container Capacity

West Reading, Pennsylvania Survey Completed on 02-06-2025

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 NFPA 101 standards regarding the capacity of soiled linen and trash containers. On December 11, 2024, an observation revealed that the accumulated trash and soiled-linen containers exceeded the allowed 32 gallons in a 64-square foot area in the 3rd floor Central Bath, near Resident Room 307. This was confirmed through an interview with the Director of Maintenance. A follow-up observation on February 7, 2025, confirmed that the issue had not been corrected, as verified by an interview with Maintenance Man 1.

Plan Of Correction

Maintenance removed all observed accumulated trash and soiled linen containers in the 3rd floor central bath by resident room 307. Maintenance Director or Designee will re-educate employees on the importance of not placing containers greater than 32 gallons in a 64-square foot area. Maintenance Director or Designee & DON or Designee will complete weekly random audits of the bath areas to ensure there are no trash or soiled linen containers in this area. Maintenance Director or Designee will present findings at the QAPI meetings for review and/or recommendations.

See complete original report
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