Emergency Lighting Deficiency in Laundry Room
Penalty
Summary
The facility failed to maintain emergency lighting in operable condition, as observed during an inspection. Specifically, an emergency light located above the dryers in the laundry room was found to be damaged and missing parts. This deficiency was confirmed during an exit interview with the Facility Administrator and Maintenance Director.
Plan Of Correction
The facility submits this plan of correction under procedures established by the Department of Health in order to comply with the Department's directive to change conditions which the Department alleges are deficient under State and Federal regulations relating to long term care. This plan of correction should not be construed as either a waiver of the Facility's right to appeal and to challenge the accuracy or severity of the alleged deficiencies or an admission of past or ongoing violations of State and Federal regulatory requirements. The emergency light for dryer side of the laundry was replaced on 1/14/2025. The maintenance director/designee will complete a review by January 17 of all emergency lights. Any identified emergency lights found to not be operational will be addressed at time of discovery. The maintenance team will be re-educated by the maintenance director on the need to test all emergency lights and report any issues with proper function immediately upon discovery. The emergency lights are on a monthly service check and an annual 90-minute test. The maintenance director/designee will submit results of the audits to the Quality Assurance Performance Improvement Committee for the next two quarters. Any identified negative trends will be addressed by the committee for further follow up.