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In spaces served by air-handling systems, detectors shall not be located where airflow prevents operation of the detectors. Detectors should not be located in a direct airflow or closer than 36 in. from an air supply diffuser or return air opening. 19.3.4.5.1, 9.6.2.10.1.1, NFPA 72 17.7.4.1, A.17.7.4.1

The facility failed to ensure the smoke detection system was in compliance with NFPA 72, National Fire Alarm and Signaling Code.

Observation determined numerous smoke detectors throughout the facility were installed within 36 in. of an air supply diffuser or return air opening.

Failure to install the smoke detection system as required increases the risk of death or injury due to fire.

This deficiency affected numerous smoke detectors in the facility. The smoke detection system serves the entire facility.

A remote annunciator that is storage battery powered shall be provided to operate outside of the generating room in a location readily observed by operating personnel at a regular work station. The annunciator shall be hard-wired to indicate alarm conditions of the emergency or auxiliary power source as follows:
1) Individual visual signals shall indicate the following:
a) When the emergency or auxiliary power source is operating to supply power to load
b) When the battery charger is malfunctioning
2) Individual visual signals plus a common audible signal to warn of an engine-generator alarm condition shall indicate the following:
a) Low lubricating oil pressure
b) Low water temperature
c) Excessive water temperature
d) Low fuel when the main fuel storage tank contains less than a 4-hour operating supply
e) Overcrank (failed to start)
f) Overspeed
NFPA 99 6.4.1.1.17

The facility failed to ensure the emergency generator was in compliance with NFPA 99, Standard for Health Care Facilities.

Observation determined there was no remote annunciator located at a work site readily observable by personnel.

Failure to ensure the emergency generator was in compliance with NFPA 99 increases the risk of death or injury due to fire.

The deficiency affected one (1) of one (1) emergency generator which provides all emergency power to the facility.