Obstructed Exit Access on Third Floor
Penalty
Summary
The facility failed to maintain exit access in accordance with NFPA 101 standards, specifically on the third floor of the Pine Ridge, C-Tower. During an observation conducted on April 8, 2025, at 12:11 pm, it was noted that a wheelchair was stored in the corridor, obstructing access to the exit door. This obstruction was confirmed during an exit interview with the Facility Administrator and Facilities Manager later that day at 1:15 pm.
Plan Of Correction
1. The wheelchair on the 3rd floor Pine Ridge C-Tower exit was removed upon discovery. 2. Education will be provided to all staff by the Maintenance Director/Designee on ensuring wheelchairs are not stored blocking access to the exit doors. 3. The Maintenance Director or designee will audit weekly x4 then monthly x3 to ensure wheelchairs are not stored blocking access to the exit doors. 4. Monthly audits will be reviewed at QAPI for further recommendations.