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K0291
E

Emergency Battery Back-Up Lighting Failure

Newtown Square, Pennsylvania Survey Completed on 01-13-2025

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 emergency battery back-up lighting in operable condition, affecting one of three floors. During an observation on January 13, 2025, at 9:30 a.m., it was noted that the emergency battery back-up light nearest the generator in the South Hall basement Generator Room did not illuminate when tested. This deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director on the same day at 10:15 a.m.

Plan Of Correction

The emergency battery back-up light was replaced and tested as fully operable. Maintenance will conduct weekly audits for 4 weeks, then monthly audits to ensure the battery back-up light is fully operational. All audits will be reviewed by The Senior Director of Property and Facilities and submitted to the Quality Assurance Performance Improvement Committee on a monthly basis for 12 months.

See complete original report
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