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K0712
E

Failure to Conduct Required Quarterly Fire Drills

Scranton, Pennsylvania Survey Completed on 01-14-2025

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 conduct the required quarterly fire drills for staff, as evidenced by documentation review and interviews. Specifically, the facility did not perform the 2nd Shift fire drill for the 2nd quarter of 2024 and the 3rd Shift fire drill for the 4th quarter of 2024. This deficiency was confirmed during an exit interview with the Facility Administrator and the Facilities Manager.

Plan Of Correction

Cannot correct fire drill not completed on 2nd shift for 2nd quarter and the 3rd shift drill for the 4th quarter. Current fire drills were checked for 1st quarter of 2025 and in compliance. Maintenance Director was educated on regulation that fire drills are held expected or unexpected times under varying conditions, at least quarterly on each shift. The Administrator / designee will review fire drill documentation monthly to assure each shift is completed in each quarter.

See complete original report
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