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K0321
E

Hazardous Area Enclosure Deficiency

Coopersburg, Pennsylvania Survey Completed on 03-12-2025

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 a proper hazardous area enclosure on one of its two levels. During an observation on the first floor, it was noted that the soiled utility room across from room 312 had paper towels stuffed into the doorframe strike plate. This obstruction prevented the door from latching properly, compromising the integrity of the hazardous area enclosure. The issue was confirmed during an exit interview with the Administrator, Director of Maintenance, and Assistant.

Plan Of Correction

1. Soiled utility room door repaired to fully close and latch. 2. 4/28/25 3. Staff education completed on regulation for NFPA 101 Standard (section 8.4) stating that "doors shall be self-closing or automatic closing." 4. Director of maintenance will conduct audits monthly x 3.

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