Improper Labeling of Oxygen Cylinder Storage Racks
Penalty
Summary
The facility failed to ensure proper labeling of oxygen cylinder storage racks inside the oxygen storage room located on hallway #800. During an observation, it was found that the storage rack did not have the required warning sign indicating whether the oxygen cylinders were EMPTY or FULL. This labeling is necessary to comply with NFPA 99 standards for the storage of nonflammable gases. The deficiency was confirmed by both the Facility Maintenance Director and the Administrator during the exit interview and at the time of observation. The lack of proper labeling could affect 16 out of 87 occupants in the event of a fire emergency, as noted in the findings. No additional details about specific residents or their medical conditions were provided in the report.
Plan Of Correction
The storage rack inside the oxygen storage room on hallway #800 has the proper warning sign indicating that the oxygen cylinders are full. The Maintenance Director/Designee has been educated to ensure that oxygen storage racks are labeled with the proper warning sign indicating if the oxygen cylinders are either empty or full. The Maintenance Director/Designee will conduct routine rounds to ensure that the oxygen storage racks are labeled with the proper warning sign indicating if the oxygen cylinders are either empty or full. Negative findings will be corrected and forwarded to the Executive Director, and trends will be forwarded to the QAPI Committee for additional review. The Executive Director is responsible for attaining and maintaining compliance with the regulation.