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K0541
E

Trash Chute Door Fails to Close and Latch

Philadelphia, Pennsylvania Survey Completed on 01-21-2025

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 fire resistance rating of its trash chute system, specifically on the second floor. During an observation on January 21, 2025, at 12:20 p.m., it was noted that the trash chute door did not close and latch properly when tested. This deficiency was confirmed during an exit interview with the Executive Director of Construction and Ancillary Services at 1:15 p.m. on the same day.

Plan Of Correction

- ED of construction to Inservice supervisor of Plant Operations on policy and procedures for trash, laundry chutes. - Trash chute replaced. - Supervisor of Plant Operations or delegate to complete audits 3x per week x 4 weeks to ensure compliance of chute doors policy and procedure. - Supervisor of Plant Operations or delegate to complete audits 3x per week x 4 weeks to compliance with policy and procedure audit findings will be submitted to QAPI committee monthly for review and recommendations as needed.

See complete original report
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