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Based on visual observation the facility failed to assure that the building had a fire alarm system that automatically activates a smoke detector in the nursing areas where the booster panels are located. Activation of the fire alarm system where a power extender control panel which is used for the protection of life and property. This deficiency has the potential to affect 54 of 54 residents.

Findings:

During the facility tour, between the hours of 9:00 am and 4:00 pm, it was noted that the nursing station areas where the power extender control panels are located throughout the facility did not have smoke detectors in those particular rooms. These panels are not being monitored by fire alarm panel and are located in a unmanned room.

Interview with Director of Plant Operations revealed the facility was not aware that the valves on the smoke detectors were missing and were not supervised by the fire alarm system and this was acknowledged by the Environmental and Safety Manager during the exit meeting.

Based on visual observation the facility failed to assure that the automatic sprinkler system has supervised valves that will sound a local alarm if closed. A direct result, of the fire alarm system being notified of the emergency, is protection of life and property. This deficiency has the potential to affect 54 of 54 residents.

Findings:

During the facility tour, between the hours of 9:00 am and 4:00 pm, it was observed that the outside backflow preventor did not have tampers on the control valves.

Interview with Director of Plant Operations revealed the facility was not aware that the valves on the sprinkler system were not supervised by the fire alarm system and this was acknowledged by the Environmental and Safety Manager during the exit meeting.