| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 01C0001002 | (X3) Date Survey Completed 04/09/2025 |
| Name of Provider or Supplier Mobile-Sc, Ltd | Street Address, City, State 6144 A Airport Boulevard, Mobile, AL | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| K0353 | Sprinkler System - Maintenance and Testing CFR(s): NFPA 101 Sprinkler System - Maintenance and Testing Automatic sprinkler and standpipe systems are inspected, tested, and maintained in accordance with NFPA 25, Standard for the Inspection, Testing, and Maintaining of Water-based Fire Protection Systems. Records of system design, maintenance, inspection and testing are maintained in a secure location and readily available. a) Date sprinkler system last checked _____________________ b) Who provided system test ____________________________ c) Water system supply source __________________________ Provide in REMARKS information on coverage for any non-required or partial automatic sprinkler system. 9.7.5, 9.7.7, 9.7.8, and NFPA 25 This STANDARD is not met as evidenced by: Based on review of documentation, the facility failed to maintain the automatic sprinkler system per the requirements of: 2012 NFPA 101, 4.6.1.2, 4.6.12.3, 4.6.12.4, 4.6.12.5, 9.7.5, 9.7.7, and 9.7.8 2011 NFPA 25, 5.3.1.1.1.3 This deficiency affects the complete sprinkler system. Findings include: The facility failed to provide documentation that the 2004 quick-response sprinklers located throughout the facility had been replaced or a representative sample tested within 20 years of installation A member of the maintenance staff and the administrator were present when this deficiency was identified. . |