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K0363
D

Failure to Maintain Corridor Door Latching

Berwick, Pennsylvania Survey Completed on 03-31-2025

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 a corridor opening, specifically the single door in the main lobby leading to the main dining room. During an observation on March 31, 2025, at 12:22 pm, it was noted that the door did not close and latch properly because it was hitting the frame. This deficiency affects the entire floor within the component where the door is located. An exit interview with the Facility Administrator and the Facilities Manager confirmed the issue with the door. The door's inability to close and latch as required by the NFPA 101 standards and CMS regulations indicates a failure to ensure that corridor doors resist the passage of smoke and maintain proper latching mechanisms. This deficiency was observed and documented by the surveyors during their assessment.

Plan Of Correction

1. The Main dining room, single door, in the main lobby failed to close and latch. 2. The Main dining room, single door, in the main lobby has been adjusted and closes appropriately. 3. The Maintenance manager/Designee will audit other areas of the facility to ensure doors are latching correctly. 4. Corrective Action Date: April 17, 2025

See complete original report
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