Smoke Detection Deficiency in Room 406
Penalty
No penalty information released
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 smoke detection requirements in one of its smoke compartments. During an observation on January 29, 2025, at 9:20 a.m., it was found that the smoke detector in room 406 on the fourth floor was broken and non-functional. This deficiency was confirmed through an interview with the Facility Administrator and Maintenance Director later that day at 1:00 p.m.
Plan Of Correction
The smoke detector in room 406 on the 4th floor was fixed on February 7th, 2025. The smoke detectors will be inspected 1 floor per week for 6 weeks, then monthly to ensure that the smoke detectors are not broken. Results will be reported to the quality assurance and performance committee.