NY State Tag
F

Deficiencies in Sprinkler System Maintenance

Sapphire Nursing At Meadow HillNewburgh, New York Survey Completed on 04-01-2025

Summary

The facility failed to maintain its sprinkler system in accordance with NFPA 101 standards, as observed during a Life Safety recertification survey. On two resident floors and in the basement, several deficiencies were noted. The water pressure gauge on the fire pump controller was found to be outdated, with no evidence of replacement or recalibration. Additionally, documentation confirming the replacement or recalibration of the water pressure gauge was missing. During an interview, the Director of Plant Operations acknowledged the issue and mentioned that the vendor would be contacted. Further inspection revealed that sprinklers in the shower rooms on both the first and second floors exhibited signs of corrosion. Additionally, a review of the facility's sprinkler logs indicated that the fire pump had failed during its annual service, and a follow-up report detailing the repairs was not available at the time of the survey. The Director of Plant Operations again stated that the vendor would be contacted to address these issues.

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.
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