Exposed Wiring in Soiled Utility Room
Penalty
Summary
The facility failed to maintain the electrical systems in one of its smoke compartments. During an observation on January 22, 2025, at 11:25 a.m., it was noted that the Soiled Utility room had a missing light switch cover plate, which exposed the wiring within the room. This deficiency was confirmed during an exit interview with the Facility Administrator and the Facilities Manager on the same day at 12:30 p.m.
Plan Of Correction
1. The light switch cover was replaced. 2. There are no missing light covers found in the facility. 3. The Maintenance Director was re-educated on maintaining electrical wiring and equipment. 4. The NHA conducted a onetime audit to ensure the soiled utility was free from exposed wiring. The results will be submitted to the QAPI committee for review and analysis of need for ongoing monitoring.