Corridor Door Latching Deficiencies
Penalty
Summary
The facility failed to maintain corridor doors in compliance with NFPA 101 standards, as observed during a survey on February 3, 2025. Specifically, four instances of corridor door deficiencies were identified, affecting four out of twenty-six smoke compartments. The deficiencies included doors that failed to latch when tested, which is a requirement for ensuring the passage of smoke is resisted. The doors in question were located in various parts of the facility, including room 450 on the fourth floor, rooms 355 and 358 on the third floor, and a housekeeping closet in the basement. The observations were confirmed during an interview with the Facility Administrator and Maintenance Director on the same day. The failure of these doors to latch properly indicates a lapse in maintaining the required safety standards for corridor doors, which are crucial for fire safety and smoke containment. The report does not mention any specific residents or their conditions, focusing solely on the structural and maintenance deficiencies observed.
Plan Of Correction
1. The door to room 450 was corrected. The door to room 355 was corrected. The door to room 358 was corrected. The door to the housekeeping closet in the basement was corrected. 2. An ongoing audit is conducted and reviewed by the Director of Maintenance or Designee to assess doors across the campus to ensure they latch to their frame.