Missed Semi-Annual Kitchen Hood Cleaning
Penalty
Summary
The facility failed to complete one of the two required semi-annual cleanings of the kitchen exhaust hood, as mandated by NFPA 101 and NFPA 96 standards for cooking facilities. Documentation and observation on July 2, 2025, revealed that the last hood cleaning was performed on December 22, 2024, and there was no documentation available for the subsequent required cleaning. This deficiency affected one of nine smoke compartments within the facility. During interviews, both the Facility Administrator and Maintenance Director confirmed the absence of documentation for the missed semi-annual hood cleaning. No information regarding specific patients, their medical history, or their condition at the time of the deficiency was provided in the report.
Plan Of Correction
Preparation and or evaluation of the following plan of correction set forth in this document does not constitute admission and or agreement by the provider of the truth of the facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared and or executed solely because it is required by the provisions of federal and state law. The semi-annual hood cleaning will be scheduled by the Maintenance Director with completion expectation from hood cleaning vendor by 8-8-25.