Normandy Park Senior Living

Missing CO alarms near fossil fuel burning appliances (fireplaces and boilers) and missing inspection documentation.

Combustible materials stored in the 1st floor southwest stairway of the main building.

Missing or deficient generator reports (fuel test, load test).

Emergency lights not illuminating on 2nd floor and in stairwells; most memory care lights failed push-to-test.

Over 20 fire extinguishers past their 6-year testing requirement.

Facility failed to provide documentation for 12 required fire drills in the previous 12 months.

Annual 90-minute battery power test not performed/documented.

Missing annual sprinkler system testing documentation (forward flow, 5-year internal, trip tests, etc).

Main building fire alarm report from 12/15/2025 shows deficiencies.

Broken receptacle cover in the 1st floor med room of the main building.

Monthly 30-second activation tests not performed/documented.

Missing documentation for vertical sliding doors in kitchen spaces of memory care building.

Missing fire door documentation/maps; damage to double doors in 2nd floor activities office; 2nd floor Southwest stairway door does not latch.

Blocked electrical panels at the 1st floor nurses station in the main building.

Appliance plugged into a power strip in the 1st floor med room of the main building.

Missing documentation for semi-annual hood cleaning and failed inspection report.

Most emergency lighting throughout the memory care building did not illuminate when the test button was pressed.

Combustible material was stored in the southwest stairway on the first floor of the main building.

The facility could not document all 12 required planned and unannounced fire drills for the prior 12 months. Missing drills included first shift quarters 1 and 4, second shift quarters 1 and 4, and third shift quarter 1.

More than 20 portable fire extinguishers were past the required six-year testing interval.

The required annual 90-minute emergency-lighting battery power test had not been performed or documented.

The first-floor medical room in the main building had a broken receptacle cover.

Required annual inspection and testing documentation was not provided for vertical sliding fire doors surrounding both kitchen spaces in the memory care building.

Several emergency lights were not illuminating, including two on the second floor of the main building and most emergency lighting throughout the Memory Care building.

Required emergency-lighting inspection and testing deficiencies remained: two main-building second-floor lights and most memory-care emergency lights failed to illuminate.

Required sprinkler documentation was not provided, including five-year internal pipe testing, trip and annual testing, forward-flow testing, five-year FDC hydrostatic testing, and quarterly inspection reports for the assisted living and memory care buildings.

Carbon monoxide alarms were missing in areas directly connected to fossil-fuel-burning appliances, including fireplace areas in both buildings and water-heater/boiler rooms. Required detector location maps and monthly inspection records were not provided.

Required hood-cleaning documentation was not provided. The first semiannual cleaning report dated 2025-02-18 showed deficiencies, and completion documentation was missing.

The main building fire alarm report dated 2025-12-15 documented deficiencies, and supporting documentation was not provided.

An appliance in the first-floor medical room was plugged into a power strip.

Required monthly 30-second activation testing of emergency lighting had not been performed or documented.

Emergency lights outside the memory care entrance and near room 232 in the second-floor southwest stairwell were not illuminating.

Required fire-door inspection records and location maps were not provided. Double doors in the second-floor activities office were damaged, and the second-floor southwest stairway door would not close and latch.

The annual report dated 2025-03-17 identified deficiencies, including missing fuel-test documentation, a 1.5-hour load test, and a four-hour load test with the date of the last test.

Electrical panels at the first-floor nurses station were blocked.

The required fuel test report for the emergency and standby power system was not provided.

Extension cord in use in the Marketing office by room 203 on the 2nd floor.

Penetrations noted in the housekeeping closet by 102 and the housekeeping door by the laundry room (1st floor).

Seven doors listed failed to close or latch properly when tested.

Two loaded sprinkler heads in the kitchen; tray rack obstructing a sprinkler head in the walk-in cooler.

Facility unable to provide records of annual fire wall inspection and/or repairs.

Facility unable to provide first quarter sprinkler report.

Facility unable to provide service report for current kitchen suppression service.

Facility unable to provide documentation for semi-annual hood cleaning.

Fire alarm report showed 5 deficiencies; facility unable to provide correction report for remaining 2 items.

Exit outside of memory care lacks an exit sign indicating the direction of the exit.

Open junction boxes and/or exposed wiring in the housekeeping closet by room 266b on the 2nd floor.

Facility unable to provide documentation for annual generator service or fuel test.