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K0353
E

Sprinkler System Maintenance Deficiency

Scranton, Pennsylvania Survey Completed on 01-14-2025

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 automatic sprinkler system in one location, affecting the entire floor. During an observation on January 14, 2025, at 10:50 a.m., it was discovered that there were four unsealed penetrations in the entrance canopy. This issue arose due to the relocation of four out of six sprinkler heads. The deficiency was confirmed during an exit interview with the Facility Administrator and the Facilities Manager on the same day at 12:00 p.m.

Plan Of Correction

The 4 unsealed penetrations of the entrance canopy at the main entrance were sealed. Other areas outside with sprinklers will be checked for any unsealed penetrations. Maintenance Director was educated on if contractors do repairs or installations the area worked on will be checked to assure no penetrations. The maintenance director will add a contractor log to verify areas worked on by contractors has no penetration areas when work is completed.

See complete original report
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