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K0345
F

Fire Alarm System Maintenance Deficiency

Flourtown, Pennsylvania Survey Completed on 05-01-2025

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 and inspect its fire alarm system, which affected the entire facility. During a document review on May 1, 2025, it was found that the facility lacked documentation for annual and semi-annual fire alarm system testing, as well as smoke detector sensitivity testing within the past two years. Additionally, an observation on the same day revealed that the fire alarm panel was in a trouble state. These findings were confirmed during an exit interview with the Maintenance Director.

Plan Of Correction

The facility will maintain and inspect the fire alarm system, affecting the entire facility. Outside contracted service was called to complete the Annual and semi-annual fire alarm system testing and Smoke detector sensitivity testing within the past 2 years. Outside company called to inspect fire panel for service and or replace. The Director of Maintenance will audit fire alarm systems 2x weekly for 2 months. All findings will be brought to QAPI for review. Any issues arise, outside company notified.

See complete original report
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