Lack of Documentation for Required HVAC Damper Inspection
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 provide documentation verifying completion of the required four-year damper inspection for its heating, ventilation, and air conditioning (HVAC) system, as mandated by regulatory standards. During a record review, it was found that the facility could not produce evidence that this inspection had been performed. This deficiency was confirmed through an interview with the maintenance director at the time of the review. The absence of this documentation means the facility could not confirm whether the dampers were in working condition.