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K0345
F

Failure to Maintain Fire Alarm System Components

Cranberry Township, Pennsylvania Survey Completed on 01-29-2025

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 components, which affected the entire facility. During a document review and interview on January 29, 2025, it was revealed that the facility could not provide documentation for several critical inspections and tests. These included the annual inspection/testing, semi-annual visual inspection, smoke detector sensitivity testing, battery-operated smoke detector checks, and six-month battery replacement and policy. The maintenance manager confirmed the absence of this documentation and noted that the fire alarm system had been recently replaced.

Plan Of Correction

We have no battery powered smoke detectors; all are hard wired in. Paperwork was located for annual testing and semi-annual visual inspection. All smoke detectors were replaced on 9/25/2024. Education completed with Maintenance department on timely receipt of paperwork. Audits will be monthly. Results will be reviewed at the QAPI meeting.

See complete original report
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