Failure to Conduct Annual Receptacle Testing
Penalty
Summary
The facility failed to conduct the required annual testing of hospital-grade electrical receptacles at patient bed locations, as mandated by NFPA 101 standards. During a document review on October 1, 2024, it was discovered that the facility could not provide documentation to confirm that the necessary testing had been performed in the previous 12 months. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director on November 7, 2024. A subsequent onsite revisit on January 8, 2025, further confirmed the deficiency, as the facility was still unable to provide the required documentation for the annual receptacle testing at patient bed locations. This continued lack of compliance was again acknowledged during an exit interview with the Administrator and Maintenance Director on the same day.
Plan Of Correction
In response to the annual receptacle testing not being completed in a timely manner, the Maintenance staff will be inserviced on the importance of receptacle testing and proper dating of the log. This is to be completed by January 31, 2025.