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K0345
F

Fire Alarm System Maintenance Deficiency

Kittanning, Pennsylvania Survey Completed on 01-22-2025

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 and test the fire alarm system in compliance with NFPA 70 and NFPA 72 standards. During a survey conducted on January 22, 2025, it was observed that the fire alarm panel displayed a message indicating 'Service mode, System being service, TROUBLE,' suggesting an issue with the system's operational status. Additionally, the facility was unable to provide documentation of the required two-year smoke detector sensitivity testing. These deficiencies were confirmed through an interview with the maintenance supervisor on the same day.

Plan Of Correction

A. Fire Alarm Panel "Trouble": Maintenance director immediately contacted Alti Protection to perform service on fire alarm panel and clear service mode. NHA/Designee to educate maintenance staff by 21MAR2025 on the fire control panel and service documentation. Maintenance Director/designee will audit monthly x 3. Negative findings will be addressed accordingly. Ad Hoc education as needed. The results of the audits will be forwarded to the facility Quality Assurance Performance Improvement (QAPI) committee for further review and recommendations. B. Sensitivity Test: Maintenance director obtained the 2 year sensitivity smoke detectors test from 3/25/2024.

See complete original report
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