Obstructed Exit Access Corridors
Penalty
Summary
The facility failed to maintain clear and unobstructed exit access corridors on three of its four floors. During an observation conducted on December 11, 2024, between 12:30 PM and 1:30 PM, various items were found stored in the egress corridors. On the 4th floor, side chairs, linen carts, and bed tables were observed throughout the corridor. Similarly, on the 3rd floor, side chairs, linen carts, bed tables, and a shredder container were found outside the Lounge/Dining Room. On the 2nd floor, two containers, each greater than 32 gallons, were located at the smoke doors by the Central Bath. An interview with the Director of Maintenance confirmed the facility's failure to keep the corridors clear and unobstructed.
Plan Of Correction
Various items such as chairs, linen carts, bed tables, and containers greater than 32 gallons throughout the corridors on each floor were removed and placed in appropriate locations. The Maintenance Director or Designee will re-educate employees on the expectation of keeping areas of exit free of all obstructions to full use in case of emergency. The Maintenance Director or Designee will do random monthly audits x 12 months of all floors to ensure aisles, passageways, corridors, and exits are free of all obstructions. The Maintenance Director or Designee will present findings at the QAPI meetings for review and/or recommendations x 12 months.