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K0920
E

Improper Use of Surge Suppressors in Dietary Office

York, 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 properly monitor the use of surge suppressors, resulting in a deficiency. During an observation on January 13, 2025, at 11:20 AM, it was discovered that a surge suppressor was supplying electrical power to another surge suppressor within the 1st floor Dietary Office. This practice, known as daisy-chaining, is not compliant with the National Fire Protection Association (NFPA) standards. The Director of Operations confirmed the presence of the daisy-chained surge suppressors during an interview conducted at the same time.

Plan Of Correction

The surge suppressor plugged into another surge suppressor has been removed from the Dietary Office. The facility's electrical equipment will be checked to ensure it has been monitored, no components are affected, assembled by qualified personnel and meet NFPA conditions. Director of Operations or designee will complete 10% monthly audits in each facility component to ensure the physical integrity of electrical receptacles. The QAPI Committee will review the reports at their quarterly meeting and make recommendations for any deficient patterns identified. Decreasing or elimination of this tool will occur only upon recommendation of the Interdisciplinary QAPI Committee at their quarterly meeting.

See complete original report
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