Obstruction in Emergency Exit Stairwell
Penalty
Summary
The facility failed to maintain the emergency exit stairwell free of obstructions or impediments, as required by NFPA 101 standards. During a Life Safety recertification survey, it was observed that a radiator was placed in stairwell C near the emergency exit door, and it was connected to an extension cord. Additionally, an unsecured mat was found in the same stairwell. These obstructions were noted in one of the three stairwells on both resident floors. The Director of Facilities explained that the radiator was intended to prevent the sprinkler pipe at the bottom of the landing from rupturing, acknowledging the presence of these items in the stairwell.
Plan Of Correction
Plan of Correction: Approved March 18, 2025 Identification of other residents having the potential to be affected was accomplished by: All residents have the potential to be affected. Action taken/systemic change put into place to reduce the risk of future occurrence include: - Director of Facilities immediately removed radiator, unsecured mat and extension cord from Stairwell C. - Director of Facilities or designee will complete in-service education with Facilities Staff members on Preventing Obstruction of Means of Egress by 3/31/25. How the corrective action will be monitored to ensure the deficient practice will not reoccur: - Beginning on 4/1/25 Director of Facilities or designee will complete audits to confirm unobstructed means of Egress for 3 out of 3 stairwells weekly x4 and then monthly x5. Date of Completion and Person Responsible: 4/20/25, Director of Facilities