Inadequate Egress Signage
Summary
The facility failed to ensure that appropriate EXIT and NO EXIT signs were provided in the path of egress on 2 out of 5 floors. During a life safety survey conducted over two days, it was observed that on the main floor, a door leading to the outside patio lacked a NO EXIT sign, and a family room with multiple doors did not have EXIT signage. Additionally, on the second floor, the door to the outside patio was also missing a NO EXIT sign. The Maintenance Director mentioned that staff are advised to put up signs where appropriate, indicating a lapse in ensuring compliance with signage requirements.
Plan Of Correction
Plan of Correction: Approved April 4, 2025 I. Immediate Corrective Action A "no exit" sign was posted immediately on the patio door and on the 2nd floor patio. Exit signs were posted in the family room. All signs were added the day it was pointed out on 3/12. II. Identification of Other Residents The facility respectfully states that residents could potentially be affected by this deficient practice. An audit of all areas that require exit and directional signs to be displayed was conducted. No outstanding issues were noted. III. Systemic Changes Maintenance was in-serviced regarding proper signage that needs to be posted around the building and has done a comprehensive review of all signage posted in the building. IV. QA Monitoring The facility will conduct an inspection of all signage on a quarterly basis. This report will be done by the Director of Maintenance or his designee and submitted to the QA committee for review. QAPI committee to determine if further action is required. Responsible Party: Director of Maintenance
Penalty
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