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K0347
F

Failure to Maintain Battery-Operated Smoke Detectors

Erie, Pennsylvania Survey Completed on 01-23-2025

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 smoke detectors for all battery-operated smoke detectors within the facility. During a document review and interview conducted on January 23, 2025, it was revealed that the facility could not provide documentation for the required monthly testing and semi-annual battery replacement of these smoke detectors. The maintenance supervisor confirmed these deficiencies at the time of the survey.

Plan Of Correction

Monthly testing and battery replacements were completed for the facility battery-operated smoke detectors on January 30, 2025. Education was provided to the Maintenance Director by the Administrator on January 24, 2025, regarding the monthly testing and semi-annual battery replacement of the facility battery-operated smoke detectors. An audit will be conducted monthly for 4 months by the Maintenance Director to ensure that the monthly testing and semi-annual battery replacement for the facility battery-operated smoke detectors are completed. The audit will be monitored by the Administrator. Results of the audit will be presented at the quarterly QAPI meeting and recommendations will be implemented.

See complete original report
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