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Sprinkler and fire alarm leads: nursing homes cited under K353 and K345

CMS's Oct 2026 release lists 4,057 nursing homes cited under K353 (sprinklers) or K345 (fire alarms) in inspections from Oct 2025 to Sep 2026. Type your ZIP to see the ones near you.

Public government records · No patient data · Every row links to the source

The two tags, in CMS's words

Sprinklers · NFPA 25

K353 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.

CMS-2786R, the fire-safety inspection form

CMS's Oct 2026 release lists 3,323 nursing homes cited under K353 in inspections from Oct 2025 to Sep 2026. 69% of those homes had also been cited under K353 at an earlier inspection (2,303 of 3,323).

Fire alarms · NFPA 72

K345 Fire Alarm System – Testing and Maintenance

A fire alarm system is tested and maintained in accordance with an approved program complying with the requirements of NFPA 70, National Electric Code, and NFPA 72, National Fire Alarm and Signaling Code. Records of system acceptance, maintenance and testing are readily available.

CMS-2786R, the fire-safety inspection form

CMS's Oct 2026 release lists 1,868 nursing homes cited under K345 in inspections from Oct 2025 to Sep 2026. 49% of those homes had also been cited under K345 at an earlier inspection (906 of 1,868).

A home cited under both tags is counted once: 4,057 homes in all. All three trade tags, with state counts: CMS K-tags.

Sources: CMS-2786R (tag text); CMS Fire Safety Deficiencies, Oct 2026 release, released Oct 28, 2026. How we count: data sources.

What a lead looks like

One home from the Los Angeles sample, as CMS's file lists it. Each citation links to its own CMS record.

Sprinkler + alarm example

Glendora Grand, Inc

Glendora, CA · chain: ROLLINS-NELSON HEALTHCARE MANAGEMENT

about 21 mi from downtown Los Angeles

K345"Have approved installation, maintenance and testing program for fire alarm systems."

Inspection Aug 14, 2026 · severity D: no actual harm, potential for more than minimal harm, isolated

Status as CMS lists it: Deficient, Provider has date of correction, correction date Aug 14, 2026

CMS record for K345

K353"Inspect, test, and maintain automatic sprinkler systems."

Inspection Aug 14, 2026 · severity E: no actual harm, potential for more than minimal harm, pattern

Status as CMS lists it: Deficient, Provider has date of correction, correction date Sep 4, 2026

CMS record for K353

Also cited at an earlier inspection: K353 Aug 8, 2025.
- 805 W. Arrow Hwy. 91740
- 342 beds
- Last standard fire-safety inspection on CMS's file: Aug 14, 2026
- Call (626) 331-0781
Care Compare page

After the cited homes, a list adds homes whose last standard fire-safety inspection on CMS's file is old, oldest first. An old date can mean CMS hasn't loaded a newer one.

What a citation does and doesn't mean

It tells you

A state inspector cited the home under that tag at that inspection, with the scope and severity shown.
The status and correction date, as CMS lists them. 95% of the 5,227 K353 and K345 citations from Oct 2025 to Sep 2026 say "Provider has date of correction": the home reports it fixed.
"Provider has plan of correction" means a plan to fix it has been made. CMS's file doesn't list it as corrected.
Both tags cover records too. CMS-2786R asks for test and maintenance records that are "readily available", so a citation can be about paperwork.

It doesn't tell you

That the sprinklers or the alarm stopped working.
Who tests them today. The form asks Who provided system test, but CMS doesn't publish that answer.
That the file is complete. A federal audit (OIG A-09-20-02007) found fire-safety citations missing from Care Compare.
That it is up to date. In CMS's Oct 2026 release, the last 1–3 months of inspections are only partly there. The newest is dated Sep 23, 2026.

Sources: CMS Fire Safety Deficiencies, Oct 2026 release, released Oct 28, 2026 (counts and statuses); CMS data dictionary (what a status means); CMS-2786R (records). How we count: data sources.

How to use it

Open with the home's next NFPA 25 or NFPA 72 inspection, or an annual inspection and testing contract. For example: "We run NFPA 25 and 72 inspections for homes near you. When is your next annual one?" If the citation comes up, say "cited" and give the status as CMS lists it. A home cited under the same tag before is the natural fit for an annual contract. Using citations responsibly

Where the homes are

Volume varies a lot by area, so type your ZIP to see your own count before you pay.

Inspections from Oct 2025 to Sep 2026, within 60 miles of downtown, or of the point named. "At least": homes near the edge are held back and not counted. CMS's Oct 2026 release.
Area (60 mi)	Homes cited under K353 or K345
Los Angeles	at least 330
New York (lower Manhattan)	at least 136
Philadelphia	at least 122
Boston	at least 107
Baltimore	at least 104
Dallas	at least 84
Sacramento	72
Chicago	at least 68
Minneapolis	62
Atlanta	at least 45
Houston	at least 40
Orlando	at least 24
Phoenix	8

Price

Founding firms

$149/month

per 60-mile territory, per trade. Locked for 12 months. First 20 firms.

Start free trial

List price

$249/month

per 60-mile territory, per trade. Monthly, cancel any time.

14 days free, no card. When the trial ends without a plan, export locks and your data stays readable.

One NFPA 25 annual sprinkler inspection of a mid-size building ($800–2,000) pays for about 3 to 8 months at list price. Job price, not our data. Source: withessential.com price guide, Oct 31, 2026, checked Nov 7, 2026.

Sprinkler + alarm is one trade, so one territory covers both K353 and K345. Pricing details

Questions buyers ask

Where does the data come from?

From CMS's public nursing-home files: Fire Safety Deficiencies, Provider Information, Inspection Dates and Ownership, plus the U.S. Census geocoder for map points. Every row links to its CMS record.

Where the data comes from

How fresh is it?

CMS publishes once a month. The current file was released Oct 28, 2026, covers inspections up to Sep 23, 2026, next file due Dec 2, 2026. Most inspections take 1–3 months to show up in CMS's file.

Source: CMS's catalog entry for the fire-safety file (release and next-update dates)

How we count: data sources

Do I get contact names and emails?

No. You get each home's name, legal business name, address, main phone, beds and chain, as CMS lists them. The main phone is the only contact CMS publishes, and there are no emails.

What counts as "near me"?

A straight-line radius from your shop, 60 miles by default. A home is held back, not guessed, when its map point is too close to call: within 1 mile of the edge, because CMS rounds its map points, or when CMS's point and the Census geocoder's point fall on different sides of the edge. Held homes are not listed, and the count then says "at least".

For some homes CMS gives only the center of the ZIP code. We look up the street address with the U.S. Census geocoder. When that doesn't place it, the card says "distance not stated", and the home is held back if it is within 15 miles of the edge.

Distances are "about N mi" in a straight line, not driving distance.

Do you cover hospitals or assisted living?

No. Only Medicare/Medicaid-certified nursing homes are in CMS's file. When CMS's hospital file lists the same street address, the card says so, because the generator and fire systems there may be the hospital's.

Will a competitor get the same list?

Yes. The records are public, so a competitor can get the same list. You pay for the finding, checking and mapping, every month.

What does it cost?

$249/month per 60-mile territory, per trade. Sprinkler + alarm is one trade, so one territory covers both K353 and K345. Founding firms: $149/month, locked for 12 months, for the first 20 firms. 14 days free, no card.

Pricing

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