Emergency Generator Maintenance Deficiency
Penalty
Summary
The facility failed to maintain the emergency generator that serves the entire center, as evidenced by a deficiency found during a document review and interview. On January 22, 2025, an observation revealed that the 4-hour load bank test documents dated May 31, 2024, indicated the generator shut off when the temperature reached 180 degrees due to a low coolant sensor failure. The documents noted that the generator's 4-hour load bank was completed using 2/0 pigtails and mentioned that the low coolant sensor would be replaced. However, the facility was unable to provide documentation confirming that the sensor had been replaced. This lack of documentation was confirmed during an exit interview with the Facility Administrator and the Facilities Manager on January 22, 2025. The absence of proper maintenance records and the failure to replace the faulty sensor led to the deficiency being cited.
Plan Of Correction
1. There was no negative effect or loss of generator power. 2. Genserve will be performing 4-hour load bank testing annually and was out to facility on 1/31 for service. Part was ordered awaiting installation date based off part available. 3. Maintenance director reeducated on importance of generator service and upkeep. 4. The maintenance director will conduct random audits that generator is fully functional.