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K0923
E

Improper Storage of Oxygen Tanks in Conference Room

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 failed to maintain proper storage conditions for gas cylinders exceeding 3,000 cubic feet. During an observation on May 1, 2025, it was noted that the Conference Room on the first floor was being used to store approximately 72 E-sized oxygen tanks. This room did not have the required 1-hour fire resistance rating, which is necessary for the safe storage of such a large volume of gas cylinders. The deficiency was confirmed during an exit interview with the Maintenance Director on the same day. The improper storage of oxygen tanks in a room lacking adequate fire resistance poses a significant safety concern, as it does not comply with the standards set forth in NFPA 101 for gas equipment storage.

Plan Of Correction

Facility will maintain storage areas for gas cylinder storage over 3,000 cubic feet. Oxygen bottles were removed from the conference room and relocated to the Oxygen room. Staff in-service on the proper location of the oxygen bottles. The Director of Maintenance or designee will audit Oxygen bottle location 3x weekly for 2 monthly. All findings will be brought to QAPI for review.

See complete original report
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