Deficiency in Maintenance of Patient Care Electrical Equipment
Penalty
Summary
The facility failed to maintain patient care related electrical equipment (PCREE) in accordance with NFPA 99 standards, as observed during a Life Safety Code recertification survey. Specifically, the facility lacked a policy and documentation for the maintenance of selected equipment. During an observation, a hair dryer in the beauty shop was found to have been last inspected in 2017, with no recent inspection documentation available except for a sticker indicating an inspection by the Director of Environmental Services. Additionally, a nebulizer at the second-floor nurse's station had no inspection or maintenance records available prior to the survey. The Director of Environmental Services confirmed the absence of inspection information for the nebulizer and additional details for the hair dryer, acknowledging the importance of proper equipment inspection and maintenance for resident and staff safety.
Plan Of Correction
Plan of Correction: Approved May 5, 2025 The Director of Environmental Services removed the hair dryer from the facility due to its age and lack of necessity. The Nebulizer located at the second-floor nurses’ station was inspected and labeled, and added to the facility’s electrical equipment. All staff were re-educated on the Electrical Equipment Policy and the necessity of inspection prior to use. The Director of Environmental Services will audit the electrical equipment monthly to ensure any are due for annual inspection. The Audit will be reviewed quarterly with the Quality Assurance and Performance Improvement committee for 1 year to ensure compliance. Person Responsible for Completion: Director of Environmental Services