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K0211
E

Facility Lacks Carbon Monoxide Detector and Exceeds Door Force Requirement

Harrisburg, Pennsylvania Survey Completed on 03-13-2025

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 was found to be non-compliant with the 2016 Act 48 Care Facility Carbon Monoxide Alarms Act due to the absence of an installed carbon monoxide detector in the Boiler/Generator Room. This deficiency was confirmed during an observation and interview conducted on March 13, 2025, at 12:12 PM, and further verified during the exit conference with the Administrator and Maintenance Director at 1:45 PM the same day. Additionally, the facility failed to maintain the required maximum force to operate exit discharge doors, as observed on March 13, 2025, at 11:35 AM. The 1st floor exit door in the Common Area required more than 30 pounds of force to set in motion, which is not in compliance with NFPA 101 Means of Egress standards. This issue was also confirmed during the exit conference with the Administrator and Maintenance Director.

Plan Of Correction

The 1st floor exit door, at the Common Area, will be repaired or adjusted so that the door opens with a force of less than 30 pounds. A Time Limited Waiver is being requested for this citation due to the construction of the metal framed glass door and metal threshold may require extensive work to make the repair or possibly a new door.

See complete original report
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