Centre Avenue Health and Rehab LLC

Based on observation and staff interview during the course of the survey it was determined the facility failed to maintain hazard areas in accordance with NFPA 101 1. Combustible storage is in the elevator room, containing boxes containing COVID tests and the building plans. 2. Basement storage needs fire stopping is needed for sprinkler pipe 3. The activity storage room has ceiling penetrations 7.14.6.2* Elevator machine rooms associated with occupan.. Based on observation and staff interviews, it was determined that the facility failed to arrange and maintain the means of egress in accordance with Life Safety Code Section 19.2 and Chapter 7. 1. Propane being stored in the path of egress from therapy needs to be removed. 2. Storage in the stairwell near the kitchen needs to be removed. NFPA 101, 7.1.10.1* General. Means of egress shall be continuously maintained free of all obstructions or impedimen.. Based on observation and staff interviews, it was determined that the facility failed to maintain wiring in accordance with NFPA 101, 99 and NFPA 70.1. Room 237 has string lights around the room. NFPA 101 9.1.2 Electrical Systems. Electrical wiring and equipment shall be in accordance with NFPA 70, National Electrical Code, unless such installations are approved existing installations, which shall be permitted to be continued in service.NFPA 99 6.3.2.1... Based on observation during the course of the survey it was determined the facility failed to notify DFPC for installation of a new FACP. This is evident through NFPA 101 and NFPA 72.1. Fire panel was replaced on 8/22/24 need to come in for a plan reviewNFPA 10119.3.4 Detection, Alarm, and Communications Systems.19.3.4.1 General.Health care occupancies shall be provided with a fire alarm system in accordance with Section 9.6.9.6.1.3 A fire alarm syste.. Based on observation it was determined that the facility failed to maintain the kitchen hood suppression system as required by NFPA 96, (Chapter 12, Section 12.1.2.3.1) and cooking appliance restraint as required by NFPA 54, 9.6.1.2. 1. Only half of the cooking appliances have wheel chaulks, or means for the cooking appliances to return to proper locations underneath Hood Suppression System. NFPA 96 (2011) Section 12.1.2.3.1: An approved method shall be pro.. Based on observation, it was determined that the facility failed to maintain corridor doors in accordance with NFPA 101 and NFPA 80. 1. 242 door gapping greater than ½ inch on the floor 2. Doors 245, 120 and 127 do not fully latchNFPA 80 5.2.1* Fire door assemblies shall be inspected and tested not less than annually, and a written record of the inspection shall be signed and kept for inspection by the AHJ.NFPA 101 7.2.1.3.3 Thresholds at door op.. INITIAL COMMENTS (ID Prefix Tag #K000) are informational only and a representation of the facility' s general characteristics. This survey was conducted in accordance with the Federal Register at Section 42 CFR 483.70(a).The facility is a two-story, Type II (111) construction. The facility is protected throughout by a National Fire Protection Association (NFPA) 13 automatic fire suppression system and is classified as Fully Sprinkled. The facility was construc.. Through observation during the documentation review, it was determined that the facility failed to meet the protection requirements in accordance with NFPA 101, 25, and 13.1. Room 139, the laundry room, and the walk-in freezer have a corroded sprinkler head 2. There are wires on the sprinkler pipe in the Fire Riser room and in the basement storage room. 3. The freezer and walk-in cooler sprinkler heads need to be intermediate temperatu..