Failure to Maintain and Inspect Exit Signs
Penalty
No penalty information released
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 failed to maintain and inspect exit signs as required by NFPA 101 standards. During a document review on May 1, 2025, it was discovered that the facility did not provide documentation of monthly exit sign inspections. This deficiency affects the entire facility, as confirmed during an exit interview with the Maintenance Director on the same day.
Plan Of Correction
The facility will maintain documentation of monthly exit sign inspection. NHA or designee will audit weekly x4 then monthly x2. All findings will be brought to QAPI for review.