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K0345
F

Fire Alarm System Maintenance Deficiency

Pittsburgh, Pennsylvania Survey Completed on 02-06-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain its fire alarm system, as evidenced by multiple unresolved trouble codes on the main fire alarm control panel. This deficiency was identified during a documentation review and observation conducted on February 6, 2025, at 8:30 a.m. The issue affected the entire facility. An interview with the Facility Administrator and Maintenance Director later that day confirmed the presence of the fire alarm system deficiency.

Plan Of Correction

Fire panel repairs will be completed by 3/21/2025 by a contracted vendor. Fire panel will be inspected weekly for 4 weeks by Maintenance Director or designee, then monthly to see if there are any troubles in the system. The administrator or designee will reeducate Maintenance Director on Fire Alarm System - K324. Findings will be reported to the Quality Assurance and Performance Improvement committee meetings.

See complete original report
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