Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
K0353
E

Sprinkler System Maintenance Deficiencies

Mcmurray, Pennsylvania Survey Completed on 12-09-2024

Penalty

No penalty information released
tooltip icon
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 the automatic sprinkler system in five instances, affecting four of nine smoke compartments. During an observation on December 9, 2024, several deficiencies were noted: a missing ceiling tile in the sprinkler room, MC wire laying on top of a sprinkler line above the smoke doors to the C2 wing, and gaps greater than 1/8 inch in ceiling tiles in both the electrical room behind the Laundry room and the Dietary Manager's office. Additionally, a sprinkler head in the first-floor storage room was missing an escutcheon. These deficiencies were confirmed during an interview with the Facility Administrator and Maintenance Director on the same day.

Plan Of Correction

1. Maintenance Director on 12/9/2024 removed wire from sprinkler line. 2. Maintenance Director on 12/09/2024 replaced missing ceiling tile and tile with 1/8 inch or greater gap. 3. Maintenance Director on 12/12/2024 placed missing escutcheon. Maintenance Director/ designee will audit ceiling tile weekly x 4 weeks, then biweekly x 2 months. Findings will be reported at monthly QA meeting.

See complete original report
An unhandled error has occurred. Reload 🗙