Failure to Maintain Portable Fire Extinguishers
Penalty
Summary
The facility failed to maintain portable fire extinguishers as required by NFPA 10, Standard for Portable Fire Extinguishers. During an observation on February 10, 2025, at 9:30 a.m., it was noted that the annual inspection for the fire extinguisher in the Activities Room had not been performed. This deficiency was confirmed during an interview with the Facility Administrator and Maintenance Director later that day at 12:30 p.m. The issue affected one of the five smoke compartments in the facility.
Plan Of Correction
1. The Maintenance Director/designee will conduct the monthly inspection of all fire extinguishers that are located in the facility. 2. The Fire Extinguisher that was missing during the annual inspection will be inspected/repaired for the annual inspection. 3. The Nursing Home Administrator/designee will educate the maintenance staff on the monthly inspection of all fire extinguishers located in the facility. 4. The maintenance staff/designee will audit weekly for two months and then monthly for two months to ensure that the monthly inspection of all fire extinguishers is being completed. 5. Any concerns will be brought to the Quality Assurance Performance Improvement Committee for review.