Fire Extinguisher Maintenance Deficiency
Penalty
Summary
The facility failed to maintain a portable fire extinguisher in accordance with NFPA 10 standards. During an observation on March 17, 2025, at 10:20 a.m., it was noted that the pressure gauge on the fire extinguisher located in the Physical Therapy area near the kitchen indicated that it required recharging before it could be used. This deficiency affected one of the eight smoke compartments in the facility. An interview with the Facility Administrator and Maintenance Director later that day confirmed that the fire extinguisher was not ready for use.
Plan Of Correction
The Nursing Home Administrator (NHA) provided re-education to the Maintenance Director on 0355 Fire Extinguishers. The fire extinguisher in the physical therapy department was replaced. The Maintenance Director will perform a house audit of fire extinguishers to ensure that they are maintained and ready for use per regulation. The Maintenance Director/designee will perform random audits on the fire extinguishers weekly times 2 weeks then monthly.