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K0345
C

Fire Control Panel Maintenance Deficiency

Kittanning, Pennsylvania Survey Completed on 02-05-2025

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 fire control panel, as evidenced by two separate observations. On December 18, 2024, the main fire control panel displayed an incorrect date and time, which was confirmed by the maintenance director. This indicates a failure in maintaining the accuracy of the fire alarm system's timekeeping function. During a subsequent Onsite Revisit Survey on February 5, 2025, the fire alarm panel indicated a trouble signal due to internal damage caused by a broken water line above the panel. The facility had implemented a fire watch and contacted a vendor for repairs, but at the time of the survey, there was no timeline for the completion of these repairs. The administrator and maintenance supervisor confirmed that the deficiencies were not resolved at the time of the revisit.

Plan Of Correction

1. The process for repairing the fire alarm has been started and is in the final steps for approval with additional parts being ordered after that. 2. Once the fire panel is repaired, the Maintenance Director or designee will monitor for appropriate operation and continue monthly fire drills as required. 3. Results will be reviewed with the QA committee with monitoring if applicable.

See complete original report
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