Fire Safety Equipment Deficiency
Penalty
Summary
The facility, Rose City Nursing and Rehab at Lancaster, was found to be non-compliant with the Life Safety Code requirements during a Medicare/Medicaid Recertification Survey. The survey identified a deficiency related to the facility's failure to meet the minimum standards for operation as required by the Department and other state and local agencies. Specifically, the deficiency was observed in the 2nd floor Clean Linen Room, where the fire blanket cabinet was found to be empty. This observation was made on April 8, 2025, at 11:22 AM, and was confirmed through an interview with the Maintenance Director at the same time. The absence of a fire blanket in the designated cabinet indicates a lapse in maintaining the necessary safety equipment, which is a requirement for the facility's operation to ensure the health and welfare of its residents.
Plan Of Correction
1. The fire blanket cabinet on the second floor clean linen room contains a fire blanket as of 04-14-2025. 2. Maintenance Director, or designee, will audit weekly for two weeks that there is a fire blanket in the containers labeled "fire blanket." Then audits will be monthly for 2 months and ongoing monthly. Results of audits will be submitted to monthly QAPI for review and recommendations.