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K0920
E

Improper Use of Extension Cord in Resident Room

Wyndmoor, Pennsylvania Survey Completed on 12-16-2024

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 electrical wiring and equipment in accordance with NFPA standards, affecting one of two levels within the facility. During an observation on December 16, 2024, at 10:55 a.m., it was noted that resident room E-115 was using a black 2-foot medium duty multi-outlet extension cord to power electronics in the room. This use of an unapproved electrical device was confirmed during an exit interview with the Administrator and Regional Maintenance Director on the same day at 12:45 p.m.

Plan Of Correction

This Plan of Correction is submitted to comply with Federal Regulations. This plan is not an admission of guilt or wrongdoing, nor does it reflect agreement with the facts and conclusions stated in this Statement of Deficiencies. 1. The 2' black medium duty-multi outlet extension cord powering personal electronic devices in room E-115 has been removed. 2. Maintenance Director will conduct an initial audit of all resident rooms and patient care vicinities to identify any additional multi-outlets being used for non-Patient Care Related Electrical Equipment and will remove them. 3. Maintenance Department will be educated on the use of multi-outlet extenders in resident care areas including their application in PCREE and non-PCREE scenarios throughout the facility. 4. Maintenance Director will conduct audits, weekly x 4 weeks then monthly x 2 months of all resident care areas in the facility to ensure that multi-outlet extenders in resident care areas are only used for PCREE scenarios and are UL Rated 1363A, or UL 60601-1. 5. Results of audits will be brought to the monthly QAPI meeting to determine if there is a need for any further action.

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