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K0919
E

Generator Set Maintenance Deficiency

Stroudsburg, Pennsylvania Survey Completed on 02-04-2025

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 the generator set, as evidenced by an observation on February 4, 2025, at 11:50 a.m., which revealed that the low fuel level lamp was illuminated at the remote annunciator location. This deficiency affected both floors of the facility. During an exit interview with the Facility Administrator and the Facilities Manager on the same day, between 12:30 p.m. and 12:40 p.m., the emergency generator set deficiency was confirmed.

Plan Of Correction

K-0919 Generator Low Fuel Light was corrected. Maintenance Director job description reviewed and signed to ensure knowledge of expectation and responsibilities clear. Maintenance Director/designee will perform generator check to ensure no issues on Panel or with Unit weekly X4, then monthly X2 with results reviewed in QAPI.

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