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K0920
F

Improper Use of Extension Cord in Facility

Pleasantville, New Jersey Survey Completed on 12-31-2024

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to comply with electrical safety standards as outlined in NFPA 101, NFPA 70, and NFPA 99. During an observation in the basement boiler location, it was found that a green extension cord was improperly used to supply power to a 120-gallon holding tank circulating pump. This extension cord was plugged into a duplex wall outlet, which is a violation of the requirement that extension cords should not be used as a substitute for fixed wiring. This practice was identified as a deficiency because it did not meet the conditions specified in the relevant NFPA standards, which prohibit the use of extension cords beyond temporary installation. The deficiency was confirmed through an interview with two individuals present during the observation. The improper use of the extension cord had the potential to affect all residents in the facility, as it was not in compliance with the safety standards designed to prevent electrical hazards. The issue was formally communicated to the responsible party during the Life Safety Code exit conference.

Plan Of Correction

K-0920 (E) Power Cords and Extensions. 1. The extension cord plugged into a circulator pump for the hot water system has been removed and replaced with a permanent circuit on 1/10/2025. All residents are free from hazard. 2. All areas are free from extension cords and have been inspected by 1/10/2025. 3. The Maintenance Director provided education with Maintenance staff regarding the need to maintain proper electrical connected with approved electrical connections. 4. Every quarter for a year the Maintenance Director or designee will check surge protectors throughout the facility to maintain logs of what they are used for. This information will then be entered on a log and will be presented to the monthly QAPI meeting quarterly for one year. *extension cord was replaced with permanent circuit to the circulator pump- see attached photo*

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