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K0355
D

Unsecured Portable Fire Extinguisher in Facility

Oxford, Pennsylvania Survey Completed on 01-28-2025

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 secure a portable fire extinguisher, which was observed during a survey. The deficiency was identified in one of the 14 smoke compartments within the facility. Specifically, on January 28, 2025, at 12:20 PM, a portable fire extinguisher located in the basement Elevator Machine Room, near the vending machines, was found removed from its wall bracket and placed unsecured on the floor. This observation was confirmed through an interview with the Maintenance Manager at the same time.

Plan Of Correction

Fire extinguisher located within the elevator Machine Room was reinstalled onto the wall bracket. The Maintenance Manager, or designee will audit fire extinguisher placement for one month. Add to our monthly Fire Extinguishers checklist to ensure extinguisher is in mounting bracket. Education will be provided to all staff on the proper mounting of fire extinguishers, and the reporting when a bracket or cabinet is damaged. Deficient findings will be reported to DES and QAPI meeting.

See complete original report
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