Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
K0372
E

Unsealed Penetrations in Smoke Barrier Walls

Berwick, Pennsylvania Survey Completed on 03-31-2025

Penalty

No penalty information released
tooltip icon
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 integrity of a smoke barrier separation wall, which affected two out of ten smoke compartments. During an observation on March 31, 2025, at 12:32 pm, it was noted that the smoke barrier wall in the North Hall had an unsealed penetration above the ceiling around black and blue wires. This deficiency was confirmed during an exit interview with the Facility Administrator and the Facilities Manager later that day. Additionally, another smoke barrier wall near the Generator room was found to have an unsealed penetration above the ceiling, affecting two out of six smoke compartments. This observation was made on the same day and time as the previous finding. The unsealed penetration was also confirmed during the exit interview with the Facility Administrator and the Facilities Manager.

Plan Of Correction

1. The North Hall, smoke barrier wall had an unsealed penetration above the ceiling around a black and blue wire. 2. The area above the ceiling in the North Hall has been sealed. Point to reference is that the facility is currently installing wires to upgrade the current phone system. 3. The Maintenance manager/Designee will audit other areas of the facility to ensure smoke barrier walls are sealed. 4. Corrective Action Date: April 17, 2025 1. The smoke barrier wall near the generator room had an unsealed penetration above the ceiling. 2. The area above the ceiling near the generator room has been sealed. 3. The Maintenance manager/Designee will audit other areas of the facility to ensure smoke barrier walls are sealed. 4. Corrective Action Date: April 17, 2025

An unhandled error has occurred. Reload 🗙