Emergency Lighting Deficiency in Mechanical Room
Penalty
Summary
The facility failed to maintain emergency lighting in the basement level mechanical room, affecting one of four floors. During an observation on January 29, 2025, at 10:50 am, it was noted that the emergency light did not function properly and failed to illuminate when the power was turned off in the room, although it worked when using the test button. This deficiency was confirmed during an interview with the facility administrator at the time of the exit conference on the same day.
Plan Of Correction
Emergency light in basement was rewired on 1/31/2025 and is now functioning properly. Maintenance director completed an audit to verify emergency lights in the facility are functioning properly. Maintenance Director was educated on maintaining emergency lighting by NHA. Maintenance director/designee will audit functionality of emergency lights weekly x4 and monthly x3 and report findings to monthly QAPI committee.