Sprinkler System Maintenance Deficiency
Penalty
Summary
The facility failed to maintain the sprinkler system as required, which was evidenced by an observation and interview during a survey. On January 15, 2025, at 10:23 a.m., it was observed that the main floor laundry room corridor had three sprinkler heads that were dust-covered and dirty. This condition can potentially delay or limit the activation of the sprinklers during an emergency. The maintenance supervisor confirmed the existence of these deficiencies during an interview conducted on January 14, 2025, at 10:23 a.m.
Plan Of Correction
1. Nursing home administrator/designee cleaned the sprinkler heads in the main floor laundry room. 2. Nursing home administrator and/or designee will audit sprinkler heads weekly times 4 weeks and monthly times 2 months for cleanliness and debris.