Deficiency in Sprinkler System Installation
Penalty
No penalty information released
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
A deficiency was identified regarding the installation of the sprinkler system. The report notes that nursing homes and hospitals, where required by construction type, must be protected throughout by an approved automatic sprinkler system. The facility did not meet this requirement, as the necessary sprinkler system installation was not in place as specified by the 2012 standards for existing buildings.
Plan Of Correction
Element 1: No residents were identified in this concern. The light fixture in the lobby was moved to accommodate the required distance from the sprinkler head. Completed by 7/24/2025