Evacuation Diagram Deficiency in PT Corridor
Penalty
No penalty information released
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 accurate evacuation diagrams, as observed on April 8, 2025. Specifically, the evacuation diagram located in the PT corridor did not display two exit routes from the viewer's location, which is a requirement under NFPA 170 - 11.2.4 and 11.3.2. This deficiency was confirmed during an interview with the maintenance supervisor conducted at the same time as the observation.
Plan Of Correction
Physical Therapy hallway evacuation plan was updated. All other evacuation diagrams reviewed to verify two exit routes on each one. Findings will be reported at Quality Assurance Performance Improvement meeting.