Failure to Perform Required 30-Day Fire Extinguisher Inspections
Penalty
Summary
Facility staff failed to ensure that portable fire extinguishers were selected, installed, inspected, and maintained in accordance with NFPA 10 standards. On March 6, 2025, during an observation at approximately 12:23 PM, it was found that the fire extinguisher located in the attic space had not been checked at least every 30 days as required by NFPA 10, 7.2.1.2. Additionally, several other fire extinguishers throughout the facility, including those in the Therapy Storage room and two in the Boiler room, were also missing documentation of 30-day inspections. These findings were confirmed through an interview with the Director of Facilities at the time of observation.
Plan Of Correction
K355 Portable Fire Extinguishers Element 1: Action taken to identify residents: No residents were identified. Element 2: Identification of other residents: All occupants could be affected in the event of an electrical power failure. Element 3: Measures Taken: The Administrator or designee will add the attic fire extinguisher locations on the monthly fire extinguisher log. The Administrator will also verify that all the fire extinguishers are verified from the outside contracted annual fire sprinkler inspection that was performed on the facility fire extinguisher. Element 4: Monitoring: The Administrator or designee will compile a report of the monthly inspections of the fire extinguishers for review and recommendations by the Quality Assurance Performance Improvement Committee monthly, twice, and periodically thereafter. The Administrator will assume responsibility for attained compliance.