Sprinkler System Maintenance Deficiency
Penalty
Summary
The facility failed to maintain the sprinkler system in accordance with NFPA 25 standards, as evidenced by observations made on February 6, 2025. During an inspection, it was found that the sprinkler heads in the laundry room were covered with a layer of dust and lint. This accumulation of material can insulate the sprinkler's thermal element, potentially impacting the temperature activation and response time of the sprinkler, and may also cause inadequate spray coverage. The maintenance supervisor confirmed the deficiency during an interview conducted at the time of the observation. Additionally, another deficiency was noted in the skilled hall near the nurse station, where a sprinkler head was similarly covered with dust and lint. This finding was also confirmed by the maintenance supervisor. The presence of dust and lint on the sprinkler heads indicates a failure to properly maintain the sprinkler system, which is crucial for ensuring the system's effectiveness in the event of a fire.
Plan Of Correction
Air dusters were purchased, and all heads were sprayed clean on 02/07/2025. The maintenance director or designee will audit once a month for 3 months.