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K0355
F

Failure to Maintain and Inspect Portable Fire Extinguishers

Philadelphia, 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 and inspect portable fire extinguishers in accordance with NFPA 10, affecting the entire facility. During a document review on December 23, 2024, it was found that the facility could not provide documentation for the annual maintenance and inspection of portable fire extinguishers, nor could they provide certification of the inspector who conducted the annual inspection. Additionally, an observation in the Basement Electrical/Data Room revealed that the portable fire extinguisher had not undergone monthly inspections since September 2024. These findings were confirmed during an exit interview with the Assistant Administrator and the Maintenance Director.

Plan Of Correction

Annual portable fire extinguisher inspection has been completed. Certification of the inspector has been placed in the life safety book. Portable fire extinguisher in the basement electrical/data room has been completed. Maintenance Dir/designee will re-educate maintenance staff on maintaining monthly and annual inspection of portable fire extinguisher. NHA/designee will complete monthly audits to ensure compliance. Maintenance Director will report the findings of the audits to the QAPI Committee X 3 months.

See complete original report
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