Failure to Complete Required Hydrostatic Testing of Kitchen Hood Fire Suppression System
Penalty
No penalty information released
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 cooking facilities were protected in accordance with NFPA 96 standards. During a record review, it was found that the kitchen hood fire suppression system in the Cedar Wing had not undergone the required hydrostatic testing, as the two most recent inspection records did not show evidence of this testing being completed. No documentation was provided by the end of the survey to confirm that the hydrostatic test had been performed. This deficiency was confirmed by the Acting Maintenance Director at the time of the record review. This lapse could affect up to 30 occupants in the event of a fire emergency, as noted in the findings.