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K0761
F

Failure to Maintain and Inspect Fire Doors

Kittanning, Pennsylvania Survey Completed on 12-18-2024

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, inspect, and test fire doors in accordance with NFPA 101 and NFPA 80 standards, affecting the entire building. During a document review on December 18, 2024, it was revealed that the last annual inspection of smoke and fire doors was conducted on July 11, 2023. An interview with the administrator and maintenance director confirmed that more recent documentation of door inspections was unavailable at the time of the survey.

Plan Of Correction

1. Administrator or designee will ensure a smoke and fire door inspection is completed on or before 1/14/2025. 2. Education will be provided to the maintenance department by Administrator or designee on the importance of maintaining annual smoke and fire door inspections. 3. Results will be discussed with QA committee with monitoring if applicable.

See complete original report
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