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K0754
E

Improper Storage of Soiled-Linen and Trash Containers

Stevens, Pennsylvania Survey Completed on 03-31-2025

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 failed to comply with NFPA 101 standards regarding the storage of soiled-linen and trash containers. During an observation on March 31, 2025, at 12:50 PM, it was noted that soiled-linen and trash containers exceeding 32 gallons were stored in the 1st floor corridor outside Resident Room 221. These containers were not placed in a 1-hour fire-rated room as required. An interview with the Director of Maintenance at the same time confirmed that the containers were not stored in a rated assembly, indicating a lapse in adherence to safety protocols for hazardous areas.

Plan Of Correction

1. The soiled linen and trash containers were removed from outside resident room 221. 2. The corrective action was completed on 4/1/2025. 3. The Maintenance Director or Designee will conduct audits of the 1st and 2nd floor corridors for soiled linen and trash containers daily until compliance is achieved, then weekly on all 3 shifts x 4 and then randomly for 2 months. 4. Findings of Audits will be submitted to QAPI for review.

See complete original report
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