Failure to Maintain Functioning Locks on Exit Doors
Penalty
Summary
The facility failed to ensure that two of five exit doors, specifically the main entrance (Door 1) and the door near the kitchen (Door 2), were properly fitted with functioning locks. Multiple staff members, including an LVN, housekeeping personnel, the receptionist, the maintenance supervisor, and the DON, attempted to lock these doors using their keys but were unable to do so. Observations and interviews confirmed that both doors could not be locked, even after visiting hours, despite facility policy requiring these doors to be secured at night for safety reasons. A review of the facility's policies and procedures indicated that the maintenance director is responsible for maintaining a safe and operable environment, including ensuring that doors are locked as required. The receptionist and maintenance supervisor both stated that the doors should be locked after visiting hours, especially given the facility's location. The DON also confirmed that the doors do not latch and should be locked for safety. The lack of functioning locks on these doors was directly observed and verified through staff interviews and policy review.