Fire Alarm System Maintenance Deficiency
Penalty
Summary
The facility failed to maintain its fire alarm system components in operable condition, affecting the entire facility. During a document review on February 10, 2025, it was discovered that a fire alarm report dated January 15, 2025, included an inspector's comment noting that the Fire Alarm Control Panel (FACP) had broken acknowledge, silence, and reset buttons, and recommended a new panel. During an exit interview with the Administrator and the Maintenance Director, it was confirmed that verification of the repair was not available at the time of the survey.
Plan Of Correction
1) The facility will contact vendors for quotes on repairs to the panel. 2) A time limited waiver was submitted for repairs to the panel. 3) The facility will make repairs to the panel.