Deficiency in Corridor Wall Construction
Penalty
Summary
The facility failed to ensure that the corridor walls were constructed to resist the passage of smoke as required by NFPA 101: 2012 Edition, Section 19.3.6.2 and 19.3.2.7. This deficiency was identified during an observation on December 4, 2024, at 9:41 AM, when a hole was found in the wall above the laundry corridor door in the ceiling of the East Wing. This observation was confirmed by a staff member present at the time. The issue was communicated to the facility's representative during the Life Safety Code exit conference on December 5, 2024, at 2:45 PM.
Plan Of Correction
Completion Date: 12-25-2024 Facility ID: 3145384 Survey completion date: 12-12-2024 K362 - E Corridors - Construction of Walls Element One: The hole in the wall above the laundry corridor door in the ceiling was immediately sealed. Element Two: This deficient practice had the potential to affect all East Wing residents. Element Three: The U.S. FOIA (b) (6) was educated on the requirements related to ensuring the corridor walls are constructed to resist the passage of smoke. Element Four: The Maintenance director / designee will audit the above findings monthly x3 to ensure the hole remains sealed and passage of smoke is resisted. Results will be reported to the QAPI team for review.