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K0291
F

Emergency Lighting Documentation Deficiency

Mckeesport, Pennsylvania Survey Completed on 12-30-2024

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 proper documentation for emergency lighting tests, which is a requirement under NFPA 101. During a document review and interview conducted on December 30, 2024, it was found that the facility did not have records of the annual 90-minute test and the monthly 30-second testing for the emergency lights. This deficiency affects the entire facility, as confirmed by the Facility Administrator and Maintenance Director during the interview.

Plan Of Correction

The Maintenance Director/Maintenance staff will be educated on the NFPA regulation requiring emergency lighting to being tested monthly for 30 seconds and 90 minutes and annually for 90 minutes. NHA/Designee will audit the emergency lighting monthly testing monthly x 2 months. The Maintenance Director/Maintenance staff will be educated on the NFPA regulation requiring emergency lighting to being tested monthly for 30 seconds and 90 minutes and annually for 90 minutes. NHA/Designee will audit the emergency lighting monthly testing monthly x 2 months.

See complete original report
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