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F0908
F

Failure to Maintain Operational Door Alarm System

Annapolis, Maryland Survey Completed on 08-06-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

During a recertification survey, a deficiency was identified regarding the facility's failure to ensure that essential equipment, specifically the door alarm operating system, was functioning as intended. The surveyor and the Maintenance Director (MD) tested the exit door alarm system in the first-floor stairwell following concerns related to a recent elopement. The MD explained the system's operation, stating that an audible alarm should sound at the first-floor nursing station if the door is opened without entering a code. However, when the door was opened without the code, the alarm did not sound, although the number 36 illuminated on the panel. Four staff members present at the nursing station were unaware that the illuminated number indicated the door had been opened, as there was no audible alert. The MD confirmed that an audible alarm should have been triggered and subsequently discovered that connecting two wires in the wall panel caused the alarm to sound. This sequence of events demonstrated that the door alarm system was not operational as required, and staff were not alerted to the door being opened, constituting a failure to maintain essential safety equipment.

See complete original report
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