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K0363
E

Non-Compliant Corridor Door Allows Smoke Passage

Saginaw, Michigan Survey Completed on 05-22-2025

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 the facility failed to ensure that doors protecting corridor openings were capable of resisting the passage of smoke, as required by NFPA 19.3.6.3. Specifically, during an inspection, it was found that the shower room door located across from the 100 nurse station consisted of an open grate design. This type of door would allow smoke, heat, and fire to transfer from the shower room into the emergency egress corridor, compromising the intended fire and smoke barrier. The deficiency was confirmed through an interview with the maintenance director at the time of observation. The report does not mention any specific residents or their medical conditions being directly involved or affected at the time of the deficiency. The finding was based solely on the physical observation of the door and its non-compliance with regulatory requirements for smoke resistance.

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