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K0920
D

Unsecured Electrical Panels in Facility

Pottstown, Pennsylvania Survey Completed on 12-09-2024

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 ensure that electrical panels were secured, as observed during a survey on October 8, 2024. Three wall-mounted recessed electrical panels located off the corridor behind the 1st floor Nurses' Station were found to be unlocked and accessible to unauthorized persons. This observation was confirmed through an interview with the Director of Maintenance at the time of the survey. A follow-up observation on December 9, 2024, at 10:30 AM and 11:30 AM, determined that the issue had not been corrected, as the electrical panels remained unlocked. The Director of Maintenance confirmed during interviews at both times that the panels were still unsecured, indicating a continued failure to address the deficiency identified in the initial survey.

Plan Of Correction

1. A facility-wide audit of electrical panels has been completed. Any electrical panel found to be unlocked was locked. 2. Education will be provided to staff that electrical panels should remain locked at all times. 3. NHA or designee will audit electrical panels weekly for 4 weeks, then monthly for 2 months, and monthly thereafter to ensure they are locked. 4. Results of the audits will be presented to the QAPI committee for review and analysis of need for ongoing monitoring.

See complete original report
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