HVAC Exhaust Diffuser Maintenance Deficiency
Penalty
No penalty information released
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 HVAC exhaust diffusers on one of its two levels. During an observation on the first floor, inside the soiled utility room of the 500 wing, an HVAC exhaust/intake diffuser was found dislodged from the ceiling. It was powered and resting on top of wall-mounted cabinets, positioned on the intake side. This issue was confirmed during an exit interview with the Administrator, Director of Maintenance, and Assistant.
Plan Of Correction
1. HVAC exhaust/intake diffuser placed back in the ceiling. 2. 4/28/25 3. Maintenance staff educated on ensuring exhaust system is back in place. 4. Director of maintenance will audit soiled utility rooms once a month.