Failure to Conduct Annual Receptacle Testing
Penalty
Summary
The facility failed to conduct the required annual testing of electrical receptacles at patient bed locations, as mandated by NFPA 101 standards. During a document review on January 27, 2025, it was discovered that the facility could not provide documentation to confirm that the necessary testing had been performed within the previous 12 months. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director, who acknowledged the absence of the required documentation.
Plan Of Correction
Preparation and/or execution of this plan of correction does not constitute admission or agreement by the providers of the truth of the facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared solely as a matter of compliance with federal and state law. Maintenance Director/Designee will conduct annual receptacle testing in patient care rooms at bed locations. Maintenance Director/Designee will document results and maintain documentation for review, annually. Results of the inspections will be documented and reported to the Quality Assurance Performance Improvement (QAPI) Steering Committee for further recommendation.