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K0355
E

Failure to Maintain Monthly Fire Extinguisher Inspections

Drums, 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 monthly inspections of portable fire extinguishers in four specific locations, affecting both floors of the building. During an observation on January 22, 2025, it was noted that the 'K' extinguisher in the kitchen had not been inspected since May 2024. Additionally, the portable fire extinguishers in the basement level, specifically in the laundry, maintenance shop, and boiler room, had not been inspected since October 2024 and August 2024, respectively. This deficiency was confirmed during an exit interview with the Facility Administrator and the Facilities Manager.

Plan Of Correction

1. The maintenance director could not retroactively do monthly fire extinguisher inspections. 2. A facility wide audit of fire extinguishers was completed and updated. 3. The Maintenance Director was re-educated on the maintenance of portable fire extinguishers. 4. NHA or designee will do a whole house monthly audit x 3 months of fire extinguisher testing.

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