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K0347
E

Smoke Detector Obstruction in Kitchen Wash Room

Stillwater, Pennsylvania Survey Completed on 12-23-2024

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 as required by NFPA 101 standards. During an observation on December 23, 2024, at 11:20 a.m., it was found that a smoke detector in the kitchen wash room on the first floor was obstructed with a plastic cover and tape. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director on the same day at 12:15 p.m.

Plan Of Correction

1. On 12/23/2024 the Maintenance Director removed the plastic cover and tape from the obstructed smoke detector in the kitchen washroom. 2. On 12/23/2024 the maintenance team inspected all smoke detectors in the building to verify there were no obstructions. 3. On 12/30/2024 the NHA educated the Maintenance team on properly maintaining the smoke detection system in accordance with NFPA 101 requirements. 4. The Maintenance Director/designee will conduct weekly audits for 4 weeks to verify that smoke detectors are not obstructed. Results of the audits will be reviewed at the QAPI meeting held monthly.

See complete original report
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