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K0918
D

Failure to Test Electrical Equipment as per NFPA Standards

Cape Coral, Florida Survey Completed on 02-11-2025

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 test electrical equipment in accordance with NFPA 99 and NFPA 110 standards. During a review of the facility's maintenance and testing documents, it was found that there were no records of main and feeder circuit breaker inspections and exercising. The only available record was a thermal imaging report dated May 13, 2022. This lack of documentation was acknowledged by the Maintenance Director, who had recently started working at the facility and was unsure of the current status of the records. The deficiency could result in a loss of power to the facility, energized equipment fires, or fires resulting from devices failing to perform as designed. This poses a risk to the occupants of the building from electric shock hazards or the loss of power providing life support and life safety features of the facility. The report highlights the importance of exercising these breakers to ensure their reliability in the event of a fault or overload situation, as per NFPA 99 (2012 edition) and NFPA 110 (2010 edition).

Plan Of Correction

3/12/25 **Electrical Systems - Essential Electric System** 1. Main and feeder circuit breaker inspection and exercising was completed. 2. Audit was conducted to ensure all other inspections were completed; any abnormal findings were corrected. 3. A. The facility has placed in TELS system a schedule to do the inspection according to the regulatory guidelines to maintain compliance. B. Maintenance director and maintenance staff educated on K918. 4. Maintenance Director will do monthly audit to ensure facility maintain compliance with its inspection and report findings to QAPI.

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