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K0291
E

Failure to Maintain Emergency Lighting

Jefferson Hills, Pennsylvania Survey Completed on 03-18-2025

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 as required. During an observation on March 17, 2025, at 10:00 a.m., it was noted that the battery back-up light in the generator room did not illuminate when tested. This deficiency was confirmed through an interview with the Owner of the facility, the Facility Administrator, and the Maintenance Director on the same day at 1:00 p.m.

Plan Of Correction

I. The back-up battery light in the generator was turned back on at the time of the surveyors observation. II. No other emergency lights failed to illuminate when tested. III. Nursing Home Administrator will re-educate Director of Maintenance on the requirement to maintain emergency lighting. IV. Director of Maintenance will conduct 5 audits weekly for 8 weeks to ensure the back-up battery light in the generator illuminates when tested. Audit results will be taken through Quality Assurance Committee Meeting for tracking and trending purposes.

See complete original report
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