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K0324
F

Failure to Complete Required Monthly Hood Suppression Inspection

Ishpeming, 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 cooking facilities were protected in accordance with NFPA 96, as required for ventilation control and fire protection of commercial cooking operations. Specifically, a review of the Owners Hood Suppression Inspection form revealed that the facility did not conduct the required monthly inspection for December 2024. This omission was confirmed by the Maintenance Director during the surveyor's review. The deficiency was identified during a record review and interview, and it could affect all occupants in the event of a fire emergency.

Plan Of Correction

Element 1: Hood suppression inspection was not completed in December of 2024. Inspections will be completed monthly. Element 2: All staff of the food and nutrition department have the potential to be impacted. If fire spreads, all residents and staff have the potential to be impacted. Element 3: Hood suppression inspection will be completed monthly and documented as such. Element 4: Physical Plant Manager will be responsible for sustained compliance. Monthly audits will be performed with results to QAPI.

See complete original report
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