Obstructed Smoke Barrier Door Due to Patient Lift
Penalty
Summary
The facility failed to maintain the unobstructed closing of smoke barrier doors, which is a requirement for ensuring fire safety within the building. During an observation, it was noted that the smoke barrier door on the Roosevelt 2nd floor, near Resident Room 2648, was obstructed by a patient lift, preventing it from closing properly. This deficiency was confirmed through an interview with the Assistant Director of Facilities and Grounds, who acknowledged the obstruction of the smoke barrier door. This issue affected two out of 43 smoke compartments within the facility.
Plan Of Correction
1. The Roosevelt 2nd floor smoke barrier door, by Resident Room 2648, obstructed from closing by a patient lift was corrected on 12/16/2024. 2. Staff will be educated in maintaining the unobstructed closing of smoke barrier doors. 3. The Director of Security and/or Maintenance Assistant Director or designee will monitor the building monthly to ensure that smoke barrier doors are unobstructed. The results of the audit will be forwarded to the Quality Assurance Committee for review and comment.