Failure to Maintain Functional, Secure Front Entry Door Lock
Penalty
Summary
The facility failed to ensure the front entry door locked, compromising the resident's right to a safe, clean, comfortable, and homelike environment, including safe supports for daily living. During an observation, the survey team found the front door ajar and unlocked, and they were able to enter the building without staff awareness. There was no audible alarm to indicate that someone had entered, and the reception area was unattended. The report states this failure had the potential to result in a significant security and safety issue potentially endangering residents, staff, and visitors. In a subsequent phone interview, the Administrator and Maintenance Supervisor both stated they did not know the entry door did not lock. During a concurrent observation and interview, the Maintenance Supervisor demonstrated that when the front entry door was pushed closed from the outside, the locking mechanism did not activate, and confirmed there was no alarm to notify staff when the door was opened. The Maintenance Supervisor stated he did not know how long the door lock had been malfunctioning. He presented a quote dated several months earlier for commercial door repair but had no knowledge of the project start or completion date. Review of the maintenance logbook for the current year showed no entry or request for follow-up on the broken entry door lock, and the Maintenance Supervisor stated he did not have access to prior logbooks.
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