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K0920
E

Improper Use of Electrical Equipment in Smoke Compartment

Lancaster, Pennsylvania Survey Completed on 04-08-2025

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 was found to have a deficiency related to the improper use of electrical equipment, specifically concerning the monitoring of receptacle multipliers. During an interview with the Maintenance Director, it was confirmed that there was an unprotected penetration of the smoke barrier wall. Observations and interviews revealed that the facility failed to adequately monitor the use of power strips and extension cords within one of the eight smoke compartments. The report highlights that power strips in patient care vicinities should only be used for movable patient-care-related electrical equipment and must meet specific UL standards. However, the facility did not adhere to these guidelines, leading to the deficiency.

Plan Of Correction

1. The receptacle multiplier, supplying electrical power to a radio and a camera by the Lobby fireplace was removed on 04-14-2025. 2. Maintenance Director, or designee, will audit weekly for two weeks, then monthly to ensure there are no receptacle multipliers being used in the facility. Results of audits will be submitted to monthly QAPI for review and recommendations. a. Maintenance Director, or designee, will perform weekly audits of facility areas for unauthorized electrical equipment that may be brought in by families for their loved ones.

See complete original report
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