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K0374
E

Smoke Barrier Door Latching Deficiency

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 the smoke barrier separation doors in compliance with NFPA 101 standards. During an observation on March 31, 2025, at 12:37 pm, it was noted that the smoke barrier separation doors in the North Wing A-Hall did not latch into the frame when released from the hold open device. This deficiency affected two out of ten smoke compartments within the facility. The issue was confirmed during an exit interview with the Facility Administrator and the Facilities Manager on the same day at 1:15 pm.

Plan Of Correction

1. The North Wing, A hall smoke barrier separation doors failed to latch into frame. 2. The North Wing, A hall smoke barrier separation door has been adjusted to ensure the door latches to the frame. 3. The Maintenance manager/Designee will audit other facility doors to ensure the doors are properly adjusted. 4. Corrective Action Date: April 17, 2025

See complete original report
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