Failure to Maintain Smoke Barrier Doors
Penalty
Summary
The facility failed to maintain the cross-corridor smoke barrier doors, which affected two of the eight smoke compartments within the component. During an observation on March 13, 2025, at 12:00 PM, it was noted that the left leaf of the cross-corridor smoke barrier doors on the 2nd floor, near Resident Room H18, did not close properly due to a faulty door closure. This deficiency was confirmed during an interview at the exit conference with the Administrator and Maintenance Director on the same day at 1:45 PM.
Plan Of Correction
The closer on the left leaf of the cross corridor smoke barrier doors near Resident Room H18 will be repaired or replaced to allow the door to close. All cross corridor doors have been inspected to see if they close. The Maintenance Director has been re-educated on the importance of checking that smoke barrier doors close fully. The Maintenance Director or designee will inspect cross corridor smoke doors for proper closing and smoke resistance each month. The NHA or designee will audit the cross-corridor doors for self-closing and smoke resistance quarterly.