Smoke Barrier Blocked by Patient Lift
Penalty
Summary
The facility failed to maintain the fire resistance of smoke barriers, specifically affecting one of the three levels in the building. During an observation on May 1, 2025, at 9:58 a.m., it was noted that the smoke barrier near resident room 216 on the second floor was blocked open by a patient lift. This deficiency was confirmed during an exit interview with the Maintenance Director on the same day at 10:30 a.m.
Plan Of Correction
The facility will maintain the fire resistance of smoke barriers, affecting all of three levels in the facility. Blockage was removed. Staff in-serviced on the importance of keeping the smoke barrier doors free from any items. The Director of Maintenance or designee will audit smoke barrier doorways 3x weekly for 2 monthly. All findings will be brought to QAPI for review.