Deficiency in Electrical Equipment Maintenance and Testing
Penalty
Summary
The facility failed to comply with the requirements for testing and maintenance of patient-care related electrical equipment (PCREE) as outlined in NFPA 99: 2012 Edition. During observations conducted over three days, it was noted that none of the fixed and portable PCREE had inspection stickers, indicating a lack of documented inspections. This deficiency was confirmed through interviews with facility representatives, who acknowledged the absence of a policy for the maintenance and testing of PCREE. Additionally, a review of the facility's documentation revealed that there was no existing policy regarding the maintenance and testing of PCREE. This lack of policy and documentation was confirmed by facility representatives during the survey. The deficiency had the potential to affect all 83 residents in the facility, as it was noted during the Life Safety Code survey exit conference.
Plan Of Correction
Rose Mountain Care Center Facility ID: 3145384 Survey completion date: 12-12-2024 K921 - (F) Electrical Equipment - Testing and Maintenance Element One: The Maintenance director immediately conducted maintenance on the electrical equipment, as well as logging the inspection and the repairs if necessary. The facility immediately implemented a policy related to patient care related electrical equipment ensuring inspections annually and as needed. 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 related to K921 PCREE, including conducting maintenance of electrical equipment and maintaining a record and log of all required tests and repairs if necessary.