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K0100
C

Facility Lacks Carbon Monoxide Evacuation Plan

Flourtown, Pennsylvania Survey Completed on 05-01-2025

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 was found deficient in adhering to the 2016 Act 48 - Care Facility Carbon Monoxide Alarms Standards Act, which affects the entire facility. During a document review conducted on May 1, 2025, it was discovered that the facility failed to update its policies in accordance with the Act. Specifically, the facility lacked a Carbon Monoxide Evacuation Plan, which is a requirement under the Act. This deficiency was confirmed during an exit interview with the Maintenance Director on the same day, who acknowledged the absence of the necessary documentation.

Plan Of Correction

Facility will update facility policies in accordance with the 2016 Act 48 - Care Facility Carbon Monoxide Alarms Standards Act, affecting the entire facility. The facility will develop a Carbon Monoxide Evacuation Plan and add it to the EPP book.

See complete original report
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