Obstructed Fire Extinguisher in Physical Therapy Charting Room
Penalty
Summary
A deficiency was identified when, during an observation in the Physical Therapy Charting Room, a fire extinguisher located by the counter was found to be obstructed by combustible stock items. This situation was observed on April 14, 2025, at 12:25 PM and was confirmed through an interview with the facility Maintenance Director at the time of the observation. The report notes that this failure to ensure the fire extinguisher was accessible and properly maintained was not in accordance with NFPA 10 standards for portable fire extinguishers. The deficiency had the potential to affect 28 of 175 residents in the event of a fire.
Plan Of Correction
K355 - Portable Fire Extinguishers 1. The facility failed to ensure portable fire extinguishers are selected, installed, inspected, and maintained in accordance with NFPA 10. a. Fire Extinguisher by the counter in the Physical Therapy Charting Room is clear of combustible stock items. 2. Maintenance Director and Staff will be educated on the importance of keeping fire extinguishers free from obstruction and clear of combustible stock items. 3. To ensure continued compliance, the Maintenance director/designee will complete random audits 5x a week for 4 weeks. Findings will be reported to the QAPI committee. 4. The facility Administrator will be responsible for assuring substantial compliance is attained through this plan of correction by 5/13/2025 and for sustained compliance thereafter.