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K0712
F

Failure to Transmit Fire Alarm Signal During Third Shift Drills

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 conduct fire drills in accordance with requirements outlined in 19.7.1.4 through 19.7.1.7. Specifically, during a review of records for the past 12 months, it was found that fire drills conducted on the third shift (11pm-7am) did not ensure that the alarm signal was transmitted to the fire alarm company within a reasonable timeframe. This deficiency was confirmed by the Maintenance Director during the surveyor's review. 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

Element 1: Failure to ensure the alarm signal was transmitted to the fire alarm company within a reasonable time frame. Audible alarm will be used during all drills. Element 2: All occupants have the potential to be impacted by this deficient practice. Element 3: Physical Plant Manager instructed night shift maintenance person responsible for the drills to use audible alarm on 06/03/2025. Element 4: Physical Plant Manager will be responsible for sustained compliance. Audits will be done quarterly and brought to QAPI.

See complete original report
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