Emergency Generator Maintenance Deficiency
Penalty
Summary
The facility failed to maintain and inspect its emergency generator, which affected the entire facility. During a document review, it was found that the facility could not provide documentation for an annual fuel quality test and a 3-year, 4-hour load test. These tests are essential for ensuring the generator's reliability and compliance with NFPA standards. The absence of these records indicates a lapse in the facility's maintenance and testing protocols for its emergency power systems. Additionally, an observation revealed that the newly installed generator was in alarm for 'over-cranking.' This issue was confirmed during an exit interview with the Administrator, Administrator in training, and the Director of Maintenance. The alarm condition suggests a potential malfunction or improper setup of the generator, further highlighting the facility's failure to ensure the emergency generator's operational readiness and compliance with required safety standards.
Plan Of Correction
An outside vendor was brought in to do required testing on our generator: Annual Fuel Quality and 3 year, 4 hour load test. We were told the report would be given to us by January 22nd, 2025. The over cranking was repaired the same day as the survey.