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K0353
B

Sprinkler System Maintenance Deficiency

Indiana, Pennsylvania Survey Completed on 02-11-2025

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 the sprinkler system adequately, as evidenced by the condition of two sprinkler heads in the laundry room. During an observation, it was noted that the sprinkler heads behind the dryers were covered with a layer of dust and lint. This accumulation of material can insulate the sprinkler's thermal element, potentially affecting the temperature activation and response time of the sprinkler, and may also lead to inadequate spray coverage. The maintenance supervisor confirmed the deficiency during an interview conducted at the time of the observation.

Plan Of Correction

1. Sprinkler heads behind dryers have been cleaned. 2. House audit was done and documented to check the other sprinkler heads for cleanliness. 3. A weekly check of sprinkler heads in laundry and a monthly check of sprinkler heads will be documented by maintenance supervisor or designee. 4. QAPI's Safety Committee will oversee for action or review. Administrator to monitor.

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