Corridor Doors Blocked Open with Wedges
Penalty
Summary
Surveyors observed that the facility failed to maintain corridor doors in accordance with fire safety regulations on two of four levels. Specifically, during an inspection, it was found that a resident room on the fourth floor and another on the second floor each had a wooden door wedge holding the door open. These wedges prevented the doors from closing as required to resist the passage of smoke and maintain corridor safety. The Maintenance Supervisor and Director of Safety/Security confirmed during an exit interview that the use of door wedges inhibited the proper closing of the doors. The deficiency was identified through direct observation and staff confirmation, with no mention of any specific resident conditions or medical histories related to the incident.
Plan Of Correction
Door stops have been removed from doors. All other rooms checked for door stops and none noted. Staff will be educated to not use door stops. Residents and families will be educated upon admission that door stops cannot be used, and current residents will be educated regarding door stops at the next resident council meeting. The resident welcome book has been updated to include education regarding door stops and will be distributed to all residents upon admission and to all current residents.