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K0372
D

Smoke Barrier Deficiencies in Facility

Erie, Pennsylvania Survey Completed on 01-16-2025

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 smoke barrier requirements in two specific locations, as observed during a survey. On January 16, 2025, between 11:52 a.m. and 11:56 a.m., it was noted that the main floor IT room had cracked, broken, and missing ceiling tiles, compromising the smoke barrier. Additionally, the main floor laundry boiler room was found to have loose, missing, and unsealed ceiling tiles, further failing to meet the smoke barrier standards. These deficiencies were confirmed through an interview with the maintenance supervisor at the time of observation.

Plan Of Correction

Smoke barriers are now maintained in the following areas: a. Main floor IT room ceiling tiles have been replaced. b. Main floor laundry boiler room ceiling tiles have been replaced. The maintenance director and/or designee will complete an audit to ensure all smoke barriers are maintained.

See complete original report
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