Smoke Barrier Door Hardware Failed to Latch Properly
Penalty
Summary
During an observation, surveyors found that the double smoke barrier door located between compartments AA and AE did not latch properly when closed. The latching hardware on this smoke barrier door failed to function according to manufacturer specifications. This issue was confirmed in an interview with the Director of Facilities, who acknowledged that the smoke barrier door hardware was not operating as required. The deficiency affected two out of ten smoke compartments within the component. No information regarding residents' medical history or condition at the time of the deficiency was provided in the report.
Plan Of Correction
Hardware will be repaired and adjusted on smoke barrier doors between compartments AA and AE. A recurring work order will be created to inspect doors for proper operation and positive latching quarterly for one year. Completed work order documentation will be presented to QAPI for evaluation.