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K0321
E

Failure to Maintain Hazardous Area Enclosure in Laundry Room

Quakertown, Pennsylvania Survey Completed on 02-10-2025

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 a hazardous area enclosure, specifically in the laundry room, which affected one of the five smoke compartments in the facility. During an observation on February 10, 2025, at 11:00 a.m., it was noted that both doors of the laundry room were propped open with door wedges, preventing them from closing and latching as required. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director on the same day at 1:15 p.m.

Plan Of Correction

1) Laundry doors were closed and door wedges were removed. 2) Staff were educated that door wedges are not to be used in the facility. 3) Laundry rooms will be audited three times a week for 8 weeks, then monthly for two months. Results of the audit will be presented at the monthly QAPI meetings for review and or recommendations.

See complete original report
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