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K0222
E

Failure to Maintain Emergency Exit Doors

Doylestown, Pennsylvania Survey Completed on 02-04-2025

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 emergency exit doors, affecting four out of six emergency exit doors. During observations on December 11, 2024, between 8:00 a.m. and 10:15 a.m., it was noted that the emergency exit doors in the West and North wings did not release after 15 seconds as indicated on the posted signs. Specifically, the doors next to resident rooms 46, 37, 18, and 8 failed to release within the specified time frame. This deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director on the same day. A follow-up onsite revisit conducted on February 4, 2025, between 11:00 a.m. and 12:30 p.m., revealed that the issues with the emergency exit doors had not been resolved. The doors next to resident rooms 46, 37, 18, and 8 continued to fail to release as required. This ongoing deficiency was confirmed during an exit interview with the Director of Nursing and the Maintenance Director.

Plan Of Correction

All Exit Doors have been reset to a 15 second delay and there are signs stating this on all doors by Maintenance. All doors will be audited weekly to ensure proper functioning. Audit result findings will be reported to QAPI monthly.

See complete original report
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