Unsecured Oxygen Cylinders in Storage Room
Penalty
Summary
During an inspection, surveyors observed that the oxygen storage room, located near the generator, contained two full oxygen cylinders that were not properly secured. This observation was made on August 5, 2025, at 11:02 a.m. The facility is required to maintain gas equipment in accordance with NFPA 101 and NFPA 99 standards, which include securing cylinders to prevent them from falling or being damaged. The maintenance supervisor was present during the observation and confirmed that the two full cylinders were unsecured at the time of the survey. The deficiency was identified based on the direct observation of the unsecured cylinders in the designated storage area. No additional details regarding patient involvement or medical history were provided in the report.
Plan Of Correction
Education was provided to all staff regarding the requirements of storing gas equipment. The two unsecured tanks identified during survey were immediately placed in a secured storage holder at the time of survey. Ongoing compliance will be maintained by observations during daily rounding by the Environmental Service Supervisor or designee, 3 times weekly for 2 weeks, then once weekly for 1 month.