Improper Placement of ABHR Dispenser
Penalty
Summary
The facility failed to comply with the alcohol-based hand rub dispenser requirements as outlined by NFPA 101. During an observation on March 11, 2025, at 10:40 a.m., it was noted that a resident room, specifically room 440, had an alcohol-based hand rub dispenser mounted above an ignition source. This placement is in violation of the safety standards that prohibit dispensers from being installed within 1 inch of an ignition source. The deficiency was confirmed through an interview with the maintenance supervisor at the time of the survey.
Plan Of Correction
Work order #192927 added to our computerized work order system to address and relocate any/all alcohol-based hand rubbing stations which may be located above any electrical devices throughout the Skilled Nursing Unit. All sanitizing stations have been relocated and will be monitored weekly for 4 weeks and reported at our quarterly QAPI meeting.