Failure to Maintain Portable Fire Extinguishers
Penalty
Summary
The facility failed to maintain portable fire extinguishers in accordance with NFPA 10, affecting 15 out of 32 extinguishers. During a documentation review on March 12, 2025, it was revealed that an annual inspection had been conducted on January 17, 2025. However, the report indicated that 15 fire extinguishers required replacement. An exit interview with the Administrator, Director of Maintenance, and Assistant confirmed that these extinguishers had not been replaced at the time of the survey.
Plan Of Correction
1. The facility will replace the 15 fire extinguishers. 2. 4/28/25 3. The maintenance director will be educated on tracking and replacing fire extinguishers as needed. 4. Monthly audits will be conducted on fire extinguisher expiration dates and that they are in good working condition.