Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
K0351
D

Sprinkler System Installation Deficiency

Pittsburgh, Pennsylvania Survey Completed on 12-03-2024

Penalty

No penalty information released
tooltip icon
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 automatic sprinkler system installation requirements in eight instances across more than 100 sprinklered compartments inspected throughout the building. During an observation on December 3, 2024, between 11:35 a.m. and 11:55 a.m., it was noted that standard response sprinkler heads were mixed with quick response sprinkler heads in several rooms on the second floor, specifically in rooms 236, 237, 238, 239, 240, 223, 233, and 234. This deficiency was confirmed during an interview with the Facility Administrator and Maintenance Director on the same day at 12:30 p.m., who acknowledged the presence of mixed response sprinkler heads.

Plan Of Correction

Unable to correct past deficient practice. The Administrator will educate the Maintenance Director on requirements of K0351. The Maintenance Director will secure vendors to complete a walkthrough of the center to identify all mixed head sprinklers for replacement. The Maintenance Director will secure bids for repairs, choose a best vendor and have repairs completed.

See complete original report
An unhandled error has occurred. Reload 🗙