Failure to Provide Automatic Emergency Illumination
Penalty
Summary
The facility failed to provide emergency illumination that would operate automatically along the means of egress, as required by NFPA 101:2012 Edition, Sections 19.2.8 and 7.8.1.3* (2). This deficiency was observed in four areas and had the potential to affect all residents. Specifically, observations revealed that in the #3 nurse station dining room, #3 nurse station day room, floor #1 dining room, and the day room by resident room 321, sets of wall switches were able to shut off all ceiling light fixtures, leaving the areas without any illumination of the means of egress that was continuously in operation or capable of automatic operation without manual intervention. These findings were confirmed by the US FOIA (b)(6) during the observations and were discussed at the Life Safety Code survey exit conference.
Plan Of Correction
1. Two switches in each of the three dining rooms were disabled, allowing for light fixtures to be on in each room at all times. The dining room lights will be powered by the Emergency generator during a power outage. 2. All residents can be at risk of illumination of means of egress not meeting requirements of the National Fire Protection Association. 3. The ability of one light staying on at all times will be added to weekly tasks on Facility Maintenance Software and will be confirmed by the Maintenance Director or Designee on weekly rounds. 4. The Director of Maintenance or designee will report to the Administrator on the status of Emergency illumination at Quarterly QA Meeting x 3. Completion date