Vertical Opening Enclosure Deficiency
Penalty
Summary
The facility failed to maintain the required fire resistance rating for vertical opening enclosures, specifically affecting one of the 15 smoke compartments. During an observation, it was noted that multiple data, cable, and electrical wires were passing through a large open hole in the back corner of Room U 115. This deficiency was confirmed through an interview with the Facility Administrator and Maintenance Director, who acknowledged the issue with the vertical opening enclosure.
Plan Of Correction
Assuming for the sake of this discussion, the validity of the deficiencies noted in the Department of Health's Statement of Deficiencies Report to St. Barnabas Nursing Home, Inc for the survey ending January 23, 2025, which St. Barnabas does not admit, we offer the following Plan of Correction. Nothing contained in the Plan of Correction shall/should be deemed an admission either expressed or implied, on the part of St. Barnabas Nursing Home, Inc. as to the validity of the deficiencies noted in the report. 1. Facility maintenance will purchase and install the proper electrical tray and fire blocking material around cables, data lines, and electrical wires in U115 on or before March 14, 2025. 2. Director of maintenance or designee will perform a one-time audit of the building ensuring all data, cable, and electrical wires passing through vertical openings are properly sealed. 3. Results of the audit will be reviewed in QA.