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K0100
C

Failure to Implement Carbon Monoxide Alarm Protocols

Washington, Pennsylvania Survey Completed on 03-19-2025

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 deficient in maintaining battery-operated carbon monoxide alarms as per the 2016 Act 48-Care Facility Carbon Monoxide Alarms Standards Act. During an observation on March 19, 2025, it was noted that the facility had not developed or implemented an Evacuation and Alarm Protocols policy for the carbon monoxide detectors/alarms. This deficiency was confirmed in an interview with the Facility Administrator, Maintenance Personnel, and the Plant Operations Director, indicating a failure to comply with the required safety standards, affecting the entire facility.

Plan Of Correction

1. The facility has a Carbon Monoxide Evacuation and alarm policy that has been effective since 6/1/2018. 2. The Director of Operations provided education to the Nursing Home Administrator and Director of Plant Operations as to the location of this policy. 3. The policy will be reviewed by the Safety committee and a carbon monoxide alarm drill will be conducted. 4. Additionally, the policy was taken to QAPI for review and placed in the emergency preparedness binder.

See complete original report
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