Lack of Snow Removal Policy for Egress Routes
Penalty
Summary
Surveyors determined that the facility failed to provide a policy ensuring that egress routes to the public way remain free and clear in the event of snow or ice. During a document review, it was found that there was no existing snow removal policy in place. This finding was confirmed during an interview with the Director of Nursing and the Director of Maintenance, who acknowledged the absence of such a policy.
Plan Of Correction
1. The facility has a Snow Removal Policy that is available for review. 2. The Snow Removal Policy will be placed in the Safety and Disaster Policy & Procedure Manual. 3. The Environmental Services Director will be educated on the Snow Removal Policy. 4. The Safety and Disaster Policy & Procedure Manual will be reviewed yearly every July.