Failure to Maintain Emergency Exit Doors
Penalty
Summary
The facility failed to maintain emergency exit doors, affecting four out of six emergency exit doors. During observations conducted on December 11, 2024, between 8:00 a.m. and 10:15 a.m., it was noted that several emergency exit doors did not function as required. Specifically, the West wing hallway emergency exit doors next to resident rooms 46 and 37, and the North wing hallway emergency exit doors next to resident rooms 18 and 8, failed to release after 15 seconds as indicated on the signs posted on the doors. The deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director on the same day at 10:15 a.m. This failure to maintain the emergency exit doors as per the required standards was observed and documented by the surveyors, indicating a lapse in the facility's adherence to safety protocols for emergency egress.
Plan Of Correction
The facility submitted a request for a waiver to lock all doors to the Plan Review Department prior to the survey. The Department of Health approved the waiver that allows all exit doors to be secured at all times. The facility will verify the status. Stickers were removed from the doors noted.