Deficiencies in Sprinkler System Maintenance
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 The water pressure gauge on the fire pump controller was found to be outdated, with no evidence of replacement or recalibration.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
Trusted data from CMS and state health departments
Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release May 27, 2026) and official state health department websites — never guesswork.
Trusted by long-term care providers and associations.



