Deficiency in Hazardous Area Maintenance
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 hazardous areas as required, specifically on the second floor in the Kitchen. During an observation on May 1, 2025, it was noted that the Storage Closet next to the Janitor's Closet lacked a self-closing mechanism. This deficiency was confirmed during an exit interview with the Maintenance Director on the same day.
Plan Of Correction
Facility will maintain hazardous areas, affecting all of two levels in the facility. Maintenance will audit all self closers for proper use weekly x2, then monthly x2. Results will be brought to QAPI for review. Door self closer was ordered and installed for proper use.