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K0355
D

Failure to Maintain Monthly Fire Extinguisher Inspections

Sayre, Pennsylvania Survey Completed on 03-19-2025

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 portable fire extinguishers as required by NFPA 10, Standard for Portable Fire Extinguishers. During an observation on March 19, 2025, at 11:22 a.m., it was noted that the fire extinguisher located in the Mechanical Room on 300 Hall had not undergone monthly inspections since its last annual maintenance in November 2024. This deficiency was confirmed during an exit interview with the Facility Administrator and Facility Maintenance on the same day at 11:45 a.m.

Plan Of Correction

The Maintenance Director conducted an inspection of the fire extinguisher situated in the mechanical room along the 300 hallway. The Facility Administrator provided guidance to the Maintenance Director regarding the necessity of verifying that each fire extinguisher is inspected and documented on a monthly basis. The Maintenance Director is responsible for performing monthly audits and presenting the findings at the Quality Assurance meeting monthly for four months.

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