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K0321
E

Hazardous Area Enclosure Deficiency

Cheswick, Pennsylvania Survey Completed on 03-17-2025

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 hazardous area enclosures, as evidenced by an observation on March 17, 2025. During the inspection, it was noted that the door to the transfer switch room, located across from the boiler room, did not latch properly when tested. This deficiency affected one of the eight smoke compartments in the facility. The issue was confirmed through an interview with the Facility Administrator and Maintenance Director on the same day.

Plan Of Correction

The Nursing Home Administrator (NHA) provided re-education to the Maintenance Director on 0321 Hazardous Area Enclosures. The door to the transfer switch room was repaired and now latches as appropriate. The Maintenance Director completed an audit of hazardous area enclosures and no other noncompliant areas were identified. The Maintenance Director will complete a random audit of hazardous area enclosures weekly times two weeks then monthly times 2 months.

See complete original report
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