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K0918
E

Failure to Maintain Battery Back-Up Lighting for Generator Transfer Switch

New Bloomfield, Pennsylvania Survey Completed on 12-16-2024

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 battery back-up lighting for the generator transfer switch in one of four smoke zones. During an observation on December 16, 2024, at 12:50 PM, it was noted that the battery back-up light did not illuminate when tested. This deficiency was confirmed through an interview with the Director of Maintenance at the same time, who acknowledged the failure of the battery back-up light. The report indicates that the facility did not meet the requirements for maintaining essential electrical systems as outlined by NFPA standards. The deficiency was specifically related to the battery back-up lighting, which is crucial for ensuring the functionality of the generator transfer switch during power outages. The lack of proper maintenance and testing of this component led to the failure observed during the survey.

Plan Of Correction

1. Battery backup lighting was repaired. 2. The Maintenance Supervisor will receive re-education from the Administrator on maintaining the battery back up lighting for the generator transfer switch. 3. The facility will conduct an audit monthly of the battery back up lighting. 4. Audits will be reviewed in the next QAPI meeting. 5. The facility will be in substantial compliance by 2/14/2025.

See complete original report
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