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K0291
F

Failure to Maintain and Inspect Emergency Lighting

Philadelphia, Pennsylvania Survey Completed on 12-23-2024

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 maintain and inspect emergency lighting as required, affecting the entire facility. During a document review on December 23, 2024, it was found that the facility could not provide documentation for monthly 30-second testing and annual 90-minute testing of emergency lighting. This deficiency was confirmed during an exit interview with the Assistant Administrator and the Maintenance Director.

Plan Of Correction

Monthly 30 second testing and annual 90 minute testing Emergency lighting system has been inspected and documentation is kept in equipment maintenance binder. Maintenance Dir/designee will re-educate maintenance staff on timely inspection of emergency lighting system monthly and annually. Maintenance dir/designee will complete monthly x3. Maintenance Director will report the findings of the audits to the QAPI Committee X 3 months.

See complete original report
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