Deficiencies in Oxygen Cylinder Storage
Penalty
Summary
The facility failed to maintain proper gas equipment storage in three separate oxygen storage areas. During an observation on December 18, 2024, it was noted that in the basement housekeeping storage room, across from the women's locker room, there was combustible storage within five feet of the oxygen cylinders. Additionally, the oxygen cylinders were not separated based on whether they were filled or empty. Further observations revealed similar deficiencies in the basement unit clerk room and on the second floor, across from resident room #213. In both locations, combustible materials were stored within five feet of the oxygen cylinders, and there was a lack of separation between filled and empty cylinders. These deficiencies were confirmed during an interview with the maintenance specialist on the same day.
Plan Of Correction
1. The combustible storage was immediately moved outside of five feet from the oxygen cylinders and oxygen cylinders were separated based on filled/empty amounts in three areas. 2. Education will be provided to the maintenance department by Administrator or designee on the regulations related to oxygen storage. 3. Maintenance Director or designee will audit weekly x four weeks and monthly x 1 month. 4. Results will be discussed with QA committee with monitoring if applicable.