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K0521
E

HVAC System Deficiency Due to Faulty Fire/Smoke Dampers

Berwick, Pennsylvania Survey Completed on 03-31-2025

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 its Heating, Ventilating, and Air Conditioning (HVAC) system ductwork through fire-rated walls throughout the facility. During an observation on March 31, 2025, it was revealed that a fire/smoke damper report from March 12, 2025, indicated that 14 out of 59 fire/smoke dampers failed due to deficient parts. At the time of the survey, this deficiency had not been addressed. An exit interview with the Facility Administrator and the Facilities Manager confirmed that the condition remained unresolved.

Plan Of Correction

1. The fire/smoke damper report from March 12, 2025, stated 14 of 59 fire/smoke dampers failed because of deficient parts. 2. A contract was signed with a vendor and scheduled to be completed the week of 04-28-2025. 3. Corrective Action Date: April 17, 2025.

See complete original report
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