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K0353
F

Deficient Sprinkler System Maintenance and Testing

Flint, Michigan Survey Completed on 05-21-2025

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 maintain and test its automatic sprinkler and standpipe systems in accordance with NFPA 25 standards. During an observation, a dirty sprinkler head was found in the scheduler's office, which could prevent the sprinkler from functioning properly in the event of a fire. Record reviews revealed that several required maintenance and testing tasks were overdue, including testing of horizontal sidewall sprinkler heads, testing of the dry pendant sprinkler in the freezer, and replacement of fire sprinkler system gauges. Additionally, the spare sprinkler head cabinet was missing the proper wrench needed for maintenance. Further review showed that the Pre-Action fire suppression system was overdue for internal and check valve testing, and the Pre-Action fire protection system was past due for a required three-year full flush. These deficiencies were confirmed through interviews with the maintenance director at the time of observation and record review. No information about specific residents or their conditions was provided in the report.

See complete original report
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