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K0541
E

Failure to Maintain Fire Protection Rating for Linen Chutes

Philadelphia, Pennsylvania Survey Completed on 04-28-2025

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 the fire protection rating for linen chutes, specifically affecting one of the four levels. During an observation on April 28, 2025, at 9:35 a.m., it was noted that the chute door in the soiled utility room on the first floor did not self-close as required. This failure was due to the door being wedged into the drywall when fully opened. An interview with the Administrator and Maintenance Director at 10:30 a.m. on the same day confirmed the issue with the chute door not self-closing.

Plan Of Correction

A wall stop was placed to ensure the soiled utility room chute door can self-close. The Director of Facilities/Designee will perform random monthly audits times 4 then quarterly audits to ensure all utility room chute doors self-close. The Facilities Director/Designee will report audit findings in the quarterly QA meeting and or the Facilities Governing Body meetings.

See complete original report
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