Corridor Door Deficiencies in Facility
Penalty
Summary
The facility failed to maintain two corridor openings, which was observed during a survey conducted on January 14, 2025. The surveyors noted that the door to Resident Room 307 in the 300 Hall did not fully close into its frame, indicating a need for adjustment. This deficiency was observed at 11:09 a.m. Additionally, the door to the Lounge in the 100 Hall was also found to require adjustment to ensure it fully closed into its frame. This observation was made at 11:23 a.m. The deficiencies were confirmed during an exit interview with the Facility Administrator and the Facilities Manager on the same day at 12:00 p.m.
Plan Of Correction
Resident door room 307 and lounge door in hallway 100 were adjusted to fully close into frame. Other resident doors and lounge doors will be checked to assure doors fully close into frame. The Maintenance Director/designee will continue to monitor doors on daily rounds. The Maintenance Director will add doors on preventive schedule to assure doors fully close into frame.