Electrical System Deficiencies in Facility
Penalty
Summary
The facility failed to maintain electrical equipment, as observed during a survey on January 27, 2025. The deficiencies were noted on two of the four levels of the facility. In the basement boiler room, an unsecured junction box was found resting on top of the middle boiler. On the second floor, above the smoke doors near the nurses' station, electrical tape was improperly used to secure a junction box cover instead of using appropriate screws. Additionally, in the Activities Department, an electric baseboard heater was improperly placed on top of an abandoned heating register, with exposed Romex wiring, and surrounded by combustible materials, including cardboard. These observations were confirmed during an exit interview with the Administrator and Maintenance Director on the same day.
Plan Of Correction
1. The open junction box in the basement boiler room was immediately secured. Appropriate screws were installed on the second floor, above the smoke doors to the left of the nurses' station, to secure a junction box. The heater inside the Activities Department was repaired to ensure compliance. 2. Electrical equipment throughout the facility audited to ensure compliance. 3. Education will be provided to ensure proper compliance with this regulation. 4. An audit of the junction box in the boiler room and the heater in the Activities Department will be conducted to ensure compliance. Audit will be done 2x a month for 2 months and 1x a month for 1 month. 5. The findings of these quality monitoring's to be reported to the Quality Assurance/Performance Improvement Committee monthly x6 months.