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K0353
E

Sprinkler System Maintenance Deficiency

Selinsgrove, Pennsylvania Survey Completed on 02-03-2025

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 the automatic sprinkler system in two specific locations, affecting one of the three floors. During an observation on February 3, 2025, it was noted that the Dietary Walk-In freezer was missing an escutcheon at 11:12 am, and the Dietary Storage Room was also missing an escutcheon at 11:13 am. This deficiency was confirmed during an interview at the exit conference with the administrator and maintenance representative on the same day at 12:15 pm.

Plan Of Correction

1. The sprinkler in the dietary walk-in freezer that was missing the escutcheon and the sprinkler in the dietary storage room will be repaired to proper function. 2. Additional sprinklers will be reviewed for proper function. 3. The Executive Director/ designee will educate the Maintenance Director on the importance of maintaining sprinklers for proper function in accordance with NFPA standards. 4. Any findings will be reported to the monthly QAPI Committee for further review.

See complete original report
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