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K0345
F

Fire Alarm System Maintenance Deficiency

Philadelphia, Pennsylvania Survey Completed on 01-22-2025

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 22, 2025. At 1:05 p.m., the fire alarm panel located at the 2 B Well Nurses Station displayed multiple trouble codes, indicating issues with the system. This deficiency was confirmed during an exit interview with the Facility Administrator and Maintenance Director at 2:00 p.m. on the same day.

Plan Of Correction

Corrected on site. The generator company was in the facility at the same time of Life Safety Inspection. They were working on the generator, which caused the trouble codes. The Fire Alarm Panel at 2nd Floor Be Well nurses station does not have any further trouble codes. Maintenance Director or Designee will conduct in servicing for maintenance staff on importance of adherence to 0345- Fire Alarm Testing and Maintenance. Maintenance team will inspect Fire Alarm Panel weekly x 4 weeks to ensure there are no trouble codes. Results will be reported on monthly QAPI.

See complete original report
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