MANCHESTER TRANQUILLA LLC

2021 · 8 cited

1. The facility failed to ensure resident room doors would latch in their frames.

   Life Safety CodeCited Sep 21, 2021Corrected Sep 22, 2021

2. The facility failed to conduct and document a risk assessment for potential emergencies or disasters.

   Life Safety CodeCited Sep 21, 2021Corrected Nov 8, 2021

3. The facility's emergency preparedness and response plan failed to address the eight core functions of emergency management.

   Life Safety CodeCited Sep 21, 2021Corrected Nov 8, 2021

4. The facility's plan failed to document the contact information for the EMC for the area.

   Life Safety CodeCited Sep 21, 2021Corrected Nov 15, 2021

5. The facility's plan failed to include a process that ensures communication with the EMC.

   Life Safety CodeCited Sep 21, 2021Corrected Nov 15, 2021

6. The facility failed to notify the EMC of the facility's plan, take actions to coordinate with the EMC, and document communications with the EMC.

   Life Safety CodeCited Sep 21, 2021Corrected Nov 15, 2021

7. The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.

   Life Safety CodeCited Sep 21, 2021Corrected Nov 15, 2021

8. The facility failed to provide the required emergency preparedness and response plan training and conduct drills.

   Life Safety CodeCited Sep 21, 2021Corrected Nov 15, 2021