Lack of Documentation for Electrical Receptacle Inspections
Penalty
Summary
The facility failed to provide documentation verifying that electrical receptacles in Patient Care Areas had been subjected to inspection and testing. This deficiency was identified during a document review conducted on March 13, 2025, between 8:45 AM and 10:45 AM. The review revealed a lack of documentation confirming that the required testing and inspection of electrical receptacles had been performed. During an exit conference on the same day at 1:45 PM, the Administrator and Maintenance Director confirmed the absence of such documentation, affecting the entire component of the facility's electrical systems in Patient Care Areas.
Plan Of Correction
The electrical receptacles in Patient Care Areas have been inspected. All facility receptacles will be inspected. The Maintenance Director has been re-educated on the requirement to inspect all electrical receptacles in Patient Care Areas. The NHA or designee will audit the inspection results semiannually for proper documentation and placement in the Life Safety Book.