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Based on record review and interview, the facility failed to develop a communication plan with a method for sharing information and medical documentation for residents under the facility's care, as necessary, with other health providers to maintain the continuity of care and means in the event of an evacuation, to release patient information as permitted under 45 CFR 164.510(b)(1)(ii).

The findings include;

Based on record review and interview with maintenance staff, on 1/30/18 at 1:30 PM confirmed the facility failed to ensure the communication plan included a means for sharing information and medical documentation for residents.

The maintenance staff was present when the deficiency was identified and acknowledged by the director of quality and compliance during the exit conference on 1/30/17.

Based on observation and interview, the facility failed to ensure corridors in the means of egress were maintained clear of all obstructions per the requirements of:

NFPA 101, 2012 Edition 19.2.3.4 (4)

This deficiency affected 3 of 3 smoke compartments.

The findings include:

Observation with the maintenance, on 1/30/18 between 9:00 AM and 2:00 PM revealed soiled linen carts stored in the corridor by resident rooms D-6 and D-8.

Interview with one facility staff employee, on 1/30/18 at 1:50 PM confirmed soiled linen carts are stored in the corridors.

The maintenance staff was present when the deficiencies were identified and acknowledged by the director of quality and compliance during the exit conference on 1/30/17.