Emergency Lighting Deficiency in Dining Area
Summary
The facility failed to ensure that emergency lighting was provided in the dining area on one of its units. During a life safety code survey conducted on January 27 and 28, 2025, it was observed that the dining room located on the 7th floor had all lighting controlled by manual switches that could be disabled. This observation was made at approximately 10:20 a.m. on January 27, 2025. In an interview conducted shortly after the observation, the Maintenance Director acknowledged the issue and stated it would be corrected.
Plan Of Correction
Plan of Correction: Approved February 7, 2025 K-0291 (E) NFPA 101- Illumination of Means of Egress This provider submits the following plan of correction in good faith and to comply with Federal Law. This plan is not an admission of wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. It is the practice of the facility to ensure all egress paths are properly illuminated. 1. The facility will install emergency lighting in the 7th floor dining room to illuminate the discharge path. The room has ambient lighting, and all residents were free from hazards. 2. All remaining egress path lights have been inspected and found at least one light that is in constant power. Fixtures have been tested and are in full operation as of 2/14/2025. All residents are free from hazards and all systems operate as designed. 3. Education is completed with Maintenance staff to confirm proper function and maintenance of all egress path lighting by 2/14/2025. 4. Every quarter for a year the Maintenance Director or designee reviews random exit path lights for function. This information will then be entered on a log and will be presented to the QAPI meeting.
Penalty
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