Oxygen Tanks Not Secured
Summary
The facility failed to ensure that oxygen tanks were secured in accordance with NFPA 99 standards. During a life safety code survey conducted on January 27 and 28, 2025, it was observed that two oxygen cylinders were not restrained from falling over on the floors of units 3 and 5. This deficiency was noted during the survey conducted between 9:30 a.m. and 2:30 p.m. An interview with the maintenance director confirmed the observation, and it was stated that the tanks would be secured.
Plan Of Correction
Plan of Correction: Approved February 7, 2025 K-0923 (D) Oxygen Storage This provider submits the following plan of correction in good faith and to comply with Federal Law. This plan is not an admission of wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. It is the practice of the facility to ensure proper oxygen storage throughout the building. 1. Oxygen cylinder storage rooms on floors 3 and 5 have all been restrained using the appropriate oxygen storage racks and chains. 2. All other oxygen storage rooms have been checked for proper storage. All residents are free from hazards and all systems operate as designed. 3. Education completed with Maintenance staff regarding monitoring oxygen storage locations. 4. Every quarter for a year the Maintenance Director or designee will check oxygen storage areas throughout the facility to ensure storage. This information will then be entered on a log and will be presented to the QAPI meeting.
Penalty
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