HospitalInspections.org

Based on visual observation the facility failed to assure that the complete, supervised, automatic sprinkler system was inspected and tested in accordance with the requirements of NFPA 13. Activation of the sprinkler system shall trigger notification of the emergency to the fire alarm system within 90 seconds, which results in protection of life and property. This deficiency has the potential to affect 40 of 40 residents.

Findings:

During the facility tour, between the hours of 8:00am and 10:00am it was observed that sprinkler heads in isolated areas need to be cleaned of dust and lent.

Interview with maintenance supervisor revealed the facility was not aware that the sprinkler heads for the automatic sprinkler system needed cleaning.