Failure to Maintain Corridor Door Latching
Penalty
Summary
The facility failed to maintain three corridor openings, which affected two of the three floors. During an observation on April 8, 2025, several deficiencies were noted. At 11:27 am, the door to the Dietary, Food Service Room required adjustment to fully latch into the frame. This indicates that the door was not properly aligned or maintained to ensure it could close securely, potentially compromising the safety and smoke resistance of the corridor. Further observations revealed additional issues on the 2nd floor. At 12:24 pm, the Personal Laundry Room door failed to latch into the frame because the strike plate was taped over, preventing the door from securing properly. Additionally, at 12:32 pm, the door to Resident Room 202 in the Aspen area also failed to latch into the frame. These deficiencies were confirmed during an exit interview with the Facility Administrator and Facilities Manager, highlighting a lapse in maintaining the integrity of corridor doors as required by regulations.
Plan Of Correction
1. The food service door latch has been adjusted to ensure latching; the Personal Laundry Room door latch has been replaced, Aspen Resident Room 202 latch has been adjusted to ensure latching. 2. Dietary doors will be checked to ensure they latch into their frame. Resident room doors in Aspen will be checked to ensure they latch into their frames. 3. NHA/Designee will in-service Maintenance Director on assuring self-closure doors latch correctly. 4. Maintenance/Designee will audit weekly x4, then monthly x3. Audits will be reported to QAPI, for further recommendations.