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K0291
C

Failure to Conduct Monthly Emergency Lighting Tests

Cheswick, Pennsylvania Survey Completed on 03-17-2025

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 perform the required monthly tests of the emergency lighting system for three out of the last twelve months, specifically in October, November, and December 2024. This deficiency was identified during a document review conducted on March 17, 2025, at 9:10 a.m., which revealed the absence of documentation for these tests. An interview with the Facility Administrator and Maintenance Director later that day confirmed the lack of documentation for the emergency lighting tests during the specified months, affecting the entire facility.

Plan Of Correction

The Nursing Home Administrator (NHA) provided re-education to the Maintenance Director on 0291 Emergency Lighting. The facility is unable to correct the lack of previous month's documentation. The facility's emergency lighting is a hard wired system. The Maintenance Director is currently performing monthly emergency lighting inspections per regulation. The NHA/designee will randomly audit the Maintenance Director emergency lighting inspection log monthly.

See complete original report
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