Failure of Self-Closing Door in Hazardous Area
Penalty
Summary
The facility failed to ensure that a self-closing door to a hazardous area was capable of automatically closing upon the activation of the facility's fire alarm system. This deficiency was observed during a survey on December 4, 2024, when the surveyor noted that the door to the laundry dryer room was held open with a rope tied around the door handle to a storage rack behind the door. This practice had the potential to affect limited residents in the area. The observation was confirmed in an interview at the time, and the facility's representatives were notified of the deficient practice during the Life Safety Code survey exit conference on December 5, 2024.
Plan Of Correction
Completion Date: 12-25-2024 Rose Mountain Care Center Facility ID: 3145384 Survey completion date 12-12-2024 K223 - (D) Doors with self closing Devices Element One: The rope tied around the door handle that held the laundry / dryer room open was immediately cut and removed. Element Two: This deficient practice had the potential to affect limited residents in the area. Element Three: The U.S. FOIA (b) (6) as well as the laundry staff were educated on the requirements regarding self automatic closing doors. Element Four: The Maintenance director will audit the laundry / dryer room door weekly x4 then monthly x2 to ensure proper automatic and self closing. Results will be reported to the QAPI team for review.