Improper Storage of Oxygen Tanks
Summary
The facility failed to ensure proper storage of oxygen tanks in accordance with NFPA 99 standards. During a life safety survey conducted on March 12 and 13, 2025, it was observed that oxygen closets on floors 2 and 1 contained single oxygen tanks that were not secured and were freely placed on the concrete floor. This deficiency was noted on 2 out of 5 floors. In an interview, the Maintenance Director acknowledged advising staff to secure all oxygen tanks, indicating a lapse in adherence to safety protocols.
Plan Of Correction
Plan of Correction: Approved April 4, 2025 I. Immediate Corrective Action The cylinders were placed in the proper holders during the survey after it was pointed out. All facility staff were educated on the safe storing of Gas Equipment. II. Identification of Other Residents The facility respectfully states that residents could potentially be affected by this deficient practice. III. Systemic Changes All staff were in-serviced and educated about safe storing of Gas Equipment. The maintenance department will check and track daily compliance, using a daily tracking sheet. IV. QA Monitoring The Director of Maintenance will review all logs 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 and Director of Nursing
Penalty
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