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K0321
E

Failure to Maintain Smoke Resistance in Hazardous Area

Camp Hill, Pennsylvania Survey Completed on 01-27-2025

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 maintain the smoke resistance of hazardous area enclosures, specifically affecting one of seven smoke compartments. During an observation on January 27, 2025, at 10:10 AM, it was noted that the door to the Soiled Utility Room on the 3rd floor, located by Resident Room 307, did not positively latch within the door frame. This deficiency was confirmed through an interview with the Senior Maintenance Director at the same time, who acknowledged that the door failed to latch properly.

Plan Of Correction

1. The door mentioned was repaired on 1/29/25 and now operates and latches properly. 2. The Maintenance Director will conduct an audit on all hazardous area doors to ensure smoke tight doors. 3. Audits will continue monthly thereafter. 4. Findings will be reported to QAPI for review each quarter.

See complete original report
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