Failure to Provide Continuous Egress Illumination
Penalty
Summary
The facility failed to provide proper illumination for the means of egress, as required by NFPA 101: 2012 Edition, Sections 19.2.8 and 7.8. This deficiency was identified during observations and interviews conducted on December 3, 2024. Specifically, the Kitchen corridor, which is over 27 feet long leading to the exit door, lacked lighting when the switch was in the OFF position. Similarly, the East Hall and West Hall were observed to have no lighting when their respective switches were in the OFF position. These observations were confirmed by the staff present during the survey. The deficiency had the potential to affect all 83 residents in the facility. The facility's representatives were informed of this issue during the Life Safety Code survey exit conference on December 5, 2024.
Plan Of Correction
Rose Mountain Care Center Facility ID: 3145384 Survey completion date: 12-12-2024 K281 - (F) Illumination of means of Egress Element One: The lights in the kitchen corridor were immediately repaired to have continued lighting while the switch is in the OFF position. The lights in the East wing hall were immediately repaired to have continued lighting while the switch is in the OFF position. The lights in the West wing hall were immediately repaired to have continued lighting while the switch is in the OFF position. Element Two: This deficient practice had the potential to affect all residents. Element Three: The U.S. FOIA (b) (6) was educated on the requirements for continuous lighting even while the light switch is in the OFF position. Element Four: The Maintenance director / designee will audit the West wing, East wing, and the Kitchen corridors to ensure there is continuous lighting even while the light switch is in the OFF position monthly x3. Results will be reported to the QAPI team for review.