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K0211
E

Obstructed Egress and Locked Refrigerator in Facility

Lancaster, Pennsylvania Survey Completed on 04-08-2025

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 maintain the means of egress as unobstructed and readily available for full and instant use, affecting two of eight smoke compartments. During an observation, a plastic chair was found obstructing the swing of an exterior exit door on the Front Patio. This was confirmed by the Maintenance Director. Additionally, an operable padlock hasp lock was installed on the Kitchen walk-in refrigerator, which could not be defeated with the emergency release from within the refrigerator, also confirmed by the Maintenance Director.

Plan Of Correction

1. a. The plastic chair was removed from within the swing of the exterior exit door on the front porch on 04/08/2025 at time of observation. b. The padlock on the walk-in refrigerator in the kitchen was removed on 04-09-2025. 2. Maintenance Director, or designee, will document and audit (a) there are no obstacles for exterior exit "swing area" and (b) there are no padlocks on walk-in refrigerator weekly for two weeks, then monthly for two months. Results of audits will be submitted to monthly QAPI for review and recommendations. a. A building wide audit of the exterior exit doors area was completed. Random audits will be done weekly to ensure there is no blockage of exterior exit doors "swing area."

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