Oxygen Cylinder Storage Deficiency
Penalty
Summary
The facility failed to maintain proper oxygen cylinder storage as required by NFPA 101 standards. During an observation on December 30, 2024, it was noted that the door to the Meadow's oxygen storage room did not latch and could not be secured. This deficiency was identified on one level of the facility, indicating a failure to comply with safety regulations for storing oxygen cylinders. The issue was confirmed during an interview with the Executive Director at the exit conference on the same day. The inability to secure the storage room door represents a lapse in maintaining the required safety measures for oxygen cylinder storage, as outlined in the NFPA 99 standards. This deficiency highlights a specific instance where the facility did not adhere to the necessary protocols for ensuring the safe storage of gas equipment.
Plan Of Correction
The door closer was adjusted on 01-06-2025 allowing the door to latch securely. The Facility Director, or appointee, will inspect all storage room doors to ensure positive latching and closing properly at the time of repair and then quarterly thereafter.