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K0291
E

Failure to Maintain Emergency Lighting

Meadowbrook, Pennsylvania Survey Completed on 01-23-2025

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 emergency lighting as required by NFPA 101 standards. During an observation on January 23, 2025, at 11:50 a.m., it was noted that the battery back-up light in the Sprinkler Room on the ground floor did not illuminate when tested. This deficiency was confirmed during an exit interview with the Director of Maintenance and Assistant Director at 12:00 p.m. on the same day.

Plan Of Correction

This unit passed the 30 second test the prior month, but did not light during survey. The light has been replaced. We have retested all the battery operated lights to insure they are operating and during our Annual 90 minute test we will be re-verifying that all the lights are operational and that the batteries are sufficient. The Director of Maintenance will be responsible for maintaining compliance of this inspection.

See complete original report
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