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K0325
D

Non-compliance with ABHR Storage Requirements

Sharon, 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 comply with alcohol-based hand rub dispenser requirements in one of its smoke compartments. During an observation on April 8, 2025, it was found that the basement electric control room contained over 10 gallons of alcohol-based hand rub stored outside of a storage cabinet. This storage was located within feet of an ignition source, which is against the stipulated guidelines. The observation revealed approximately 40 containers, each holding 40 ounces of the hand rub. The maintenance director confirmed the presence of this deficiency during an interview conducted at the same time.

Plan Of Correction

Regional Maintenance Director educated administrator on the regulation pertaining to storage of alcohol based hand rub. Administrator will educate housekeeping director and housekeeping staff of the regulation. Education will be completed by 4/30/2025. Excess hand rub was removed from electric control room on 4/8/2025. There now is less than 10 gallons stored in the control room in storage cabinet.

See complete original report
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