Emergency Generator Signage Deficiency
Penalty
Summary
The facility failed to maintain proper signage for the emergency generator's remote manual stop station. During an observation conducted on February 12, 2025, at 1:05 PM, it was noted that the stop station lacked identifying signage. This deficiency was identified as affecting the entire component of the emergency generator system. An interview conducted during the exit conference with the Administrator and Maintenance Director on the same day confirmed the absence of the required signage. The lack of signage was acknowledged by the facility's representatives, indicating a failure to comply with the necessary maintenance and testing protocols as outlined in NFPA standards.
Plan Of Correction
The maintenance has installed a sticker identifying the remote manual stop station for the emergency generator. The NHA and maintenance director will tour the facility and grounds to identify any other locations which may need additional or new signage to maintain compliance. The NHA and maintenance director will review life safety regulations for signage to ensure that the facility is in compliance. The maintenance director will audit the sticker weekly with his generator checks to ensure the sticker remains in place. Results of the audit will be forwarded to the QAPI committee for review.