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K0345
F

Fire Alarm System Maintenance Deficiency

Philadelphia, Pennsylvania Survey Completed on 01-30-2025

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 its fire alarm system in proper operating condition, as evidenced by an observation on January 30, 2025. During this observation, the fire alarm panel located at the ground floor main entrance displayed Trouble Code #1, indicating a malfunction or issue with the system. This deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director, who acknowledged the presence of the trouble code on the fire alarm panel.

Plan Of Correction

Step 1 Trouble on the fire alarm panel at the ground floor main entrance cleared. Step 2 The maintenance team was educated to ensure that the fire alarm system including the fire panel is monitored, tested, and maintained in accordance with the NFPA 70 requirement. Step 3 The maintenance director/ designee will audit the fire panel weekly to ensure safe operation. Findings will be reviewed during QAPI meeting.

See complete original report
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