Failure to Document Generator Load Test
Penalty
Summary
The facility failed to meet the electrical system requirements as outlined in NFPA 101 and related standards. During a document review on January 15, 2025, it was found that the facility could not provide documentation for the mandatory three-year, four-hour load test of their generator. This test is crucial to ensure that the generator can supply power within the required 10 seconds in case of an emergency. The absence of this documentation indicates a lapse in the facility's maintenance and testing protocols for their essential electrical systems. An interview with the maintenance supervisor on the same day confirmed that the documentation for the three-year load test was unavailable at the time of the survey. This deficiency highlights a failure in maintaining proper records of maintenance and testing, which are necessary to verify compliance with NFPA 110 and NFPA 111 standards. The lack of documentation raises concerns about the facility's ability to ensure the reliability of their emergency power systems, which are critical for the safety and well-being of the residents.
Plan Of Correction
1. Facility had third party Generator Specialist Inc. complete the 4 hour load test of the generator on 2/3/2025. 2. Facility contracts with Generator Specialist Inc to ensure that the 4 hour load test is completed every three years as required.