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K0345
F

Obstructed Fire Alarm Pull Box at Activities West Exit

Sturgis, Michigan Survey Completed on 05-19-2025

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 ensure that the fire alarm system was tested and maintained in accordance with an approved program as required by NFPA 70 and NFPA 72. During an observation, it was found that the fire alarm pull box located at the activities west exit door was obstructed and could not be immediately accessed. This issue was confirmed through an interview with the facility Maintenance Director at the time of observation. No information regarding specific residents, their medical history, or their condition at the time of the deficiency was provided in the report.

Plan Of Correction

Obstructions in front of the Activities fire alarm pull box have been removed. All other pull stations have been inspected and none are obstructed. All pull-station areas will be inspected on a weekly basis by the maintenance department to make sure there are no obstructions preventing access to the pull stations. All Department Managers and Maintenance staff will be inserviced on keeping pull stations free from obstructions. The Maintenance Director will monitor compliance by completing rounds weekly, observing for obstructed pull stations.

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