Inspection·March 6, 2025

E 000 Initial Comments

E 000 During the fire life safety survey conducted on 3/6/25 at Life Care Center of New Port Richey, a nursing home, Emergency Preparedness was reviewed. Life Care Center of New Port Richey is in compliance with Emergency Preparedness per code of Federal Regulations (CFR) 42, Part 483.73, Requirement for Long-Term Care Facilities.

K 000 INITIAL COMMENTS

K 000 An unannounced Fire & Life Safety recertification survey was conducted 3/6/25 at Life Care Center of New Port Richey, a nursing home in New Port Richey, Florida. The Facility is not in compliance with 42 CFR 483.90(a), and National Fire Protection Association (NFPA) 101 (2012 Edition) requirements for nursing homes. Initial Plan Review: 2003 Existing NFPA 220 Construction Type: V (III) Number of beds: 113 Census: 107 The facility was found not in compliance at the time of this survey.

K 761 Maintenance, Inspection & Testing - Doors

K 761 4/5/25 SS=C CFR(s): NFPA 101 Maintenance, Inspection & Testing - Doors Fire doors assemblies are inspected and tested annually in accordance with NFPA 80, Standard for Fire Doors and Other Opening Protectives. 03/28/2025 106049 03/06/2025 LIFE CARE CENTER OF NEW PORT RICHEY 7400 TROUBLE CREEK ROAD NEW PORT RICHEY, FL 34653 PREFIX TAG ID PREFIX TAG DEFICIENCY) COMPLETION DATE

K 761 Continued From page 1 Non-rated doors, including corridor doors to patient rooms and smoke barrier doors, are routinely inspected as part of the facility maintenance program. Individuals performing the door inspections and testing possess knowledge, training or experience that demonstrates ability. Written records of inspection and testing are maintained and are available for review. 19.7.6, 8.3.3.1 (LSC) 5.2, 5.2.3 (2010 NFPA 80) This REQUIREMENT is not met as evidenced by: Based on observations and interviews the facility failed to maintain emergency exit doors in accordance with NFPA 101. Findings include: On 03/6/2025 between the hours of 11:30 a.m. and 2:00 p.m., during the facility tour with the maintenance director observations were made that the exit door by Room 114 did not latch when in the closed position. An interview was conducted with the maintenance director concurrent with the observations and confirmed the findings. NFPA 101 (2012 Edition) 19.2.2.2.1, 7.2.1, 7.2.1.5.10, 4.6

K 761 On March 6, 2025 a security and fire protection company repaired the latch on the exit door by room 114. A facility wide audit on exit doors was performed by a security and fire protection company on March 6, 2025 with no variances noted. Education was provided to the Maintenance Staff by the Executive Director on March 27, 2025 about NFPA 101 Inspection & Testing Doors per (2012 and 2021 Editions). Monthly audits will be completed by the Maintenance Director or Designee to ensure the exit doors are maintained. These audits will be reviewed in Quality Assurance Performance Improvement meeting for three months until substantial compliance is met. COMPLETED 03/06/2025 NEW PORT RICHEY, FL 34653 PREFIX PREFIX COMPLETE DATE

K 000 INITIAL COMMENTS K 000 An unannounced Fire & Life Safety re-licensure survey was conducted on 3/6/25 at Life Care Center of New Port Richey, a nursing home in New Port Richey, Florida in accordance with National Fire Protection Association (NFPA) 1 and 101 (2021 Edition) and applicable requirements of Florida State Fire Marshal's Rules and Regulations, Florida Administrative Code (F.A.C.) 69A-3, F.A.C. 69A-53, F.A.C. 59A-4, and Florida Statutes (F.S.) 400 Part II, and F.S. 633.0215, adopting National Fire Protection Association (NFPA) 1 and 101 (2021 Edition) known as the Florida Fire Prevention Code and all NFPA referenced standards and requirements adopted per NFPA 101, Chapter 2. The following is a description of the deficiencies found at the time of the visit.

K 761 NFPA 101 Maintenance Inspection & Testing - SS=C Doors Fire doors assemblies are inspected and tested annually in accordance with NFPA 80, Standard for Fire Doors and Other Opening Protectives. Non-rated doors, including corridor doors to patient rooms and smoke barrier doors, are routinely inspected as part of the facility maintenance program. Individuals performing the door inspections and testing possess knowledge, training or experience that demonstrates ability. Written records of inspection and testing are maintained and are available for review. 19.7.6, 8.3.3.1 (NFPA 101) 5.2, 5.2.3 (NFPA 80) This Statute or Rule is not met as evidenced by: |---|---|---|---| LIFE CARE CENTER OF NEW PORT RICHEY 7400 TROUBLE CREEK ROAD NEW PORT RICHEY, FL 34653 |---|---|---|---|---| | K 761 | Continued From page 1<br><br>Based on observations and interviews the facility failed to maintain emergency exit doors in accordance with NFPA 101.<br><br>Findings include:<br><br>On 03/6/2025 between the hours of 11:30 a.m. and 2:00 p.m., during the facility tour with the maintenance director observations were made that the exit door by Room 114 did not latch when in the closed position. An interview was conducted with the maintenance director concurrent with the observations and confirmed the findings.<br><br>NFPA 101 (2021 Edition) 19.2.2.2.1, 7.2.1.5, 7.2.1.5.3, 4.6<br><br>Class III | K 761 | On March 6, 2025 a security and fire protection company repaired the latch on the exit door in room 114.<br>A facility wide audit on exit doors was performed by a security and fire protection company on March 6, 2025 with no variances noted.<br>Education was provided to the Maintenance Staff by the Executive Director on March 27, 2025 about NFPA 101 Inspection & Testing Doors per (2012 and 2021 Editions).<br>Monthly audits will be completed by the Maintenance Director or Designee to ensure the exit doors are maintained.<br>These audits will be reviewed in Quality Assurance Performance Improvement meeting for three months until substantial compliance is met. | | STATE FORM