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K0923
D

Improper Storage of Oxygen Cylinder in Staffing Office

Brookville, 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 maintain proper gas equipment storage requirements in one of its rooms. During an observation on January 14, 2025, at 9:31 a.m., it was noted that an oxygen cylinder in the first-floor staffing office was not properly secured or labeled as full or empty. This observation indicates a lapse in adherence to the National Fire Protection Association (NFPA) standards for gas equipment storage, which require that cylinders be properly secured and labeled to ensure safety and compliance. An interview with the maintenance supervisor at the same time confirmed the deficiency in gas equipment storage. The NFPA 101 standards specify that gas cylinders must be stored in a manner that prevents them from being a hazard, including proper labeling and securing of cylinders. The failure to comply with these standards in the staffing office represents a significant oversight in the facility's safety protocols for handling and storing gas equipment.

Plan Of Correction

Oxygen tank identified was secured. Facility was checked to determine if any other oxygen cylinders were unsecured and did not determine any. All staff were educated on the procedure for securing an oxygen cylinder as well as the appropriate labeling of the tank. Maintenance director will audit tanks weekly for 6 weeks and monthly thereafter.

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