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K0374
E

Smoke Barrier Door Deficiency on First Floor

Dunmore, Pennsylvania Survey Completed on 12-23-2024

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 failed to maintain the smoke barrier separation doors on the first floor, specifically those located closest to the Nurse's Station. During an observation conducted on December 23, 2024, at 10:50 a.m., it was noted that these doors required adjustment to fully latch. This deficiency was confirmed during an exit interview with the Facility Administrator and the Facilities Manager later that day, between 1:25 p.m. and 1:30 p.m.

Plan Of Correction

First floor, smoke barrier separation doors, were adjusted and fully latch. Smoke barrier separation doors throughout the facility were audited and fully latch. NHA/Designee educated the Maintenance Director on NFPA 101 Subdivision of Building Spaces-Smoke Barrier. Maintenance Director will randomly audit Smoke barrier separation doors 1x week for 4 weeks then monthly x2.

See complete original report
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