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K0923
E

Improper Storage of Oxygen Cylinders

New Brunswick, New Jersey Survey Completed on 12-12-2024

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 failed to ensure proper separation of empty and full portable oxygen cylinder tanks, as required by NFPA 101: 2012 Edition, Section 19.3.2.4,8.7 and NFPA 99. During an observation conducted on December 4, 2024, it was noted that five out of twenty full portable oxygen cylinder tanks were incorrectly stored in a rack designated for empty tanks only. This observation was confirmed by a staff member at the time of the inspection. The deficiency was identified in the oxygen storage closet, which had the potential to affect all 31 residents in the east wing of the facility. The issue was brought to the attention of the facility's representative during the Life Safety Code exit conference on December 5, 2024. The failure to properly segregate empty and full oxygen tanks could lead to confusion and potential safety hazards, although specific consequences were not detailed in the report.

Plan Of Correction

Element Four: The maintenance director / designee will audit the patients equipment ensuring the policy is being followed through monthly x3. (policy including annual inspections and as needed, new admissions, new equipment) Results will be reported to the QAPI team for review. Completion Date: 12-25-2024 Rose Mountain Care Center Facility ID: 3145384 Survey completion date 12-12-2024 K923 - (E) Gas Equipment - Cylinder and Container Storage Element One: The 5 full portable oxygen cylinder tanks were immediately removed from the Empty tanks rack in the oxygen storage closet. Element Two: This deficient practice had the potential to affect all 31 residents on east wing. Element Three: The U.S. FOIA (b) (6) was educated on the requirements regarding empty portable oxygen cylinder tanks are separated from full portable oxygen cylinder tanks. Element Four: The maintenance director / designee will audit the oxygen tanks ensuring they are kept separate monthly x3. Results will be reported to the QAPI team for review. Completion Date: 12-25-2024

See complete original report
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