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Tag No.: K0923
Based on observation and interview, the facility failed to protect medical gas storage as required. Oxygen cylinders were not stored with the required precautions.
Findings include:
1. Observation on 6/24/25 at 1:35 p.m. in the oxygen storage room with Vice president J revealed two full D-size oxygen cylinders were stored upright outside of the oxygen cylinder storage rack. One C-size oxygen cylinder was found housed within a fabric case and was lying on the floor beside the oxygen cylinder storage rack.
Vice president J agreed that the cylinders were stored improperly.
The deficiency affected one of one smoke compartments.