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K0291
C

Emergency Lighting Deficiency in Generator Enclosure

North Wales, Pennsylvania Survey Completed on 02-10-2025

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 lighting in operable condition, as evidenced by an observation made on February 10, 2025. During the inspection, it was noted that the emergency back-up battery lighting fixture within the generator enclosure did not illuminate when tested. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director on the same day.

Plan Of Correction

Emergency lighting fixture within the generator enclosure was repaired. All emergency lighting was checked to ensure working properly when tested. Maintenance director will in-service maintenance staff to maintain emergency lighting in operable condition. Random weekly audit to check emergency lighting is in operable condition for 3 weeks and report findings to QAPI.

See complete original report
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