Staff Unaware of Special Needs Locking Code
Penalty
Summary
The facility failed to maintain proper knowledge of Special Needs Locking Arrangements on the first floor in the Physical Therapy area. During an observation on May 1, 2025, at 10:08 a.m., it was noted that the staff was unaware of the code required to unlock the exit door. This lack of knowledge could potentially hinder the rapid removal of occupants in case of an emergency, as the staff did not have immediate access to the necessary unlocking mechanism. An exit interview with the Maintenance Director on the same day at 10:30 a.m. confirmed the deficiency, as the director acknowledged that the staff did not know the unlock code. This oversight affects one of the three levels in the facility, indicating a lapse in ensuring that all staff members are adequately trained and informed about the security protocols necessary for the safety and security of the residents and staff in the facility.
Plan Of Correction
The facility will maintain doors with Special Needs Locking Arrangements, affecting all of three levels in the facility. The Director of Maintenance will in-service the Physical Therapy department on the codes on all doors.