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K0353
E

Deficiency in Sprinkler System Maintenance

Hazleton, 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 automatic sprinkler system in one location, specifically affecting one of the four floors. During an observation on February 11, 2025, at 11:15 a.m., it was noted that several sprinkler head assemblies located within the Laundry were "loaded" with lint. This deficiency was confirmed during an exit interview on the same day between 12:20 p.m. and 12:30 p.m. with the Facility Administrator and Facilities Manager.

Plan Of Correction

Lint was removed from Sprinkler Head Located in Laundry. Facility Audit was completed of all Sprinkler Head for Lint. Maintenance will be educated by NHA/Designee regarding K-0353. Maintenance director or designee will audit all Sprinkler for 3 monthly and then quarterly. All findings will be reported at Monthly QPI meeting.

See complete original report
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