2014-11-27
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Inspection Results
Recertification/State Licensure/Life Safety Code - (19-OCT-12)
Facility failed to meet the following Requirement(s):Date CorrectedLevel of HarmResidents Affected
A fire alarm system with approved components, devices or equipment is installed according to NFPA 72, National Fire Alarm Code, to provide effective warning of fire in any part of the building. Activation of the complete fire alarm system is by manual fire alarm initiation, automatic detection or extinguishing system operation. Pull stations in patient sleeping areas may be omitted provided that manual pull stations are within 200 feet of nurse's stations. Pull stations are located in the path of egress. Electronic or written records of tests are available. A reliable second source of power is provided. Fire alarm systems are maintained in accordance with NFPA 72 and records of maintenance are kept readily available. There is remote annunciation of the fire alarm system to an approved central station. 19.3.4, 9.6 03-DEC-12No actual Harm with potential for More than minimal harm that is not immediate jeopardyMany
All required smoke detectors, including those activating door hold-open devices, are approved, maintained, inspected and tested in accordance with the manufacturer's specifications. 9.6.1.3 03-DEC-12No actual Harm with potential for More than minimal harm that is not immediate jeopardyMany
Required automatic sprinkler systems are continuously maintained in reliable operating condition and are inspected and tested periodically. 19.7.6, 4.6.12, NFPA 13, NFPA 25, 9.7.5 03-DEC-12No actual Harm with potential for More than minimal harm that is not immediate jeopardyMany
(B) All facilities shall test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition. I/II 03-DEC-12Refer to definitions of Class I, I/II, II, II/III, III deficiencies
(C) Facilities that have sprinkler systems installed prior to August 28, 2007, shall inspect, maintain, and test these systems in accordance with NFPA 13, 1999 edition, and NFPA 25, 1998 edition. I/II 03-DEC-12Refer to definitions of Class I, I/II, II, II/III, III deficiencies