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Tag No.: K0062
Based on observation and interview, the facility failed to have its automatic sprinkler system maintained in accordance with National Fire Protection Association 25, 1999 edition, 2-4. This has the potential to affect all patients receiving services at the facility. The facility had a census of 502 patients at the time of the survey.
Findings include:
On 09/17/15 at 11:00 AM in an interview, Staff Z, a representative from the local company who inspects the facility's sprinkler system, stated the first place he/she would look for spare sprinkler heads for the facility would be at the pump room.
On 09/17/15 at 11:20 AM Staff Z and the surveyor were unable to locate a sample of spare sprinkler heads of each kind in use at the facility at the pump room.