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K0754
E

Non-compliance with Soiled Linen and Trash Container Standards

West Reading, Pennsylvania Survey Completed on 12-11-2024

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 was found to be non-compliant with NFPA 101 standards regarding the management of soiled linen and trash containers. During an observation on December 11, 2024, at 12:45 PM, it was noted that the facility had accumulated trash and soiled-linen containers totaling 32 gallons within a 64-square foot area on the 3rd floor Central Bath, near Resident Room 307. This accumulation was outside of a protected area, which is a violation of the requirement that such containers should not exceed 32 gallons in a 64-square foot area unless located in a room protected as a hazardous area. The Director of Maintenance confirmed the facility's failure to monitor and manage the amount of trash and soiled-linen containers appropriately.

Plan Of Correction

Maintenance removed all observed accumulated trash and soiled linen containers in the 3rd floor central bath. 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 will complete weekly random audits of the bath areas to ensure there are no trash or solid 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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