Failure to Maintain Egress Doors Free from Obstructions
Penalty
Summary
The facility failed to maintain egress doors free from obstructions, affecting one of two floors. During observations conducted on January 21, 2025, between 9:54 a.m. and 10:05 a.m., it was noted that the emergency magnetic door release mechanisms were not functioning at three specific locations on the first floor. These locations included the stairwell doors across from resident rooms 131, 121, and 114. This deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director at 10:15 a.m. on the same day.
Plan Of Correction
The emergency magnetic door release at the stairwell door across from resident room 131, 121, and 114 are now fully functioning. The facility has determined that all emergency magnetic doors have the potential to be affected. The Maintenance Director was in-serviced on ensuring that the emergency magnetic doors are fully functioning. The Maintenance Director will monitor the emergency magnetic doors weekly. The Maintenance Director will review this plan of correction at the monthly Quality Assurance Performance Improvement meeting to ensure compliance is maintained.