Failure to Maintain Illumination in Exit Stairways
Penalty
Summary
The facility failed to maintain proper illumination of the exit stairways, specifically affecting one of the three floors. During an observation on January 30, 2025, at 9:20 a.m., it was noted that the lights in the first floor South main stair tower were not illuminating as required. This deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director later that morning at 11:30 a.m., where it was acknowledged that the exit stair tower lights did not illuminate.
Plan Of Correction
Step 1 Lights on the first-floor South main stair tower repaired. Step 2 The maintenance team completed a facility-wide audit of all stairways to ensure that all exit stairways had adequate illumination. Step 3 The maintenance team was educated on the requirement to maintain the illumination of the exit stairways. Step 4 The maintenance director or designee will audit monthly x4 to ensure that the illumination of the exit stairways is properly maintained. Findings will be reviewed in QAPI.