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K0222
F

Noncompliance with Delayed Egress Door Requirements

Crystal Falls, Michigan Survey Completed on 04-23-2025

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

Surveyors observed that several doors in required means of egress were equipped with 15-second delayed egress hardware but did not meet the requirements set forth by NFPA 101. Specifically, the door to the main nurses station from Willow Wing and Door 12 were missing the required signage stating, "PUSH UNTIL ALARM SOUNDS DOOR CAN BE OPENED IN 15 SECONDS." Additionally, the Birch Wing Alcove exit, Door 17, and other doors failed to initiate the irreversible opening sequence when tested multiple times, indicating that the delayed egress function was not operating as intended. In contrast, Door 9 and Door 8, while appropriately signed, immediately opened and bypassed the irreversible opening sequence upon testing, further demonstrating noncompliance with the required delayed egress operation. These deficiencies were confirmed through direct observation and testing by the surveyor, with the Acting Maintenance Director present at the time. The report does not mention any specific residents or their medical conditions in relation to these findings. The focus of the deficiency is on the improper installation, signage, and functioning of delayed egress hardware on multiple doors, which did not comply with the standards for special locking arrangements as required by NFPA 101.

See complete original report
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