Improper Installation of Emergency Generator Annunciator Panel
Summary
The facility failed to ensure that the emergency generator's remote annunciator panel was properly installed in a readily observed regular work location. During the Life Safety Code recertification survey, it was observed that the 85-kilowatt diesel generator's remote annunciator panel was located at the loading dock hall entrance. Although there was a camera at this location because it served as the staff entrance, the Director of Environmental Services confirmed that staff did not work or monitor this area.
Plan Of Correction
Plan of Correction: Approved May 5, 2025 Maintenance will relocate the annunciator panel to the first-floor nursing station when supplies are received. Conduit placed for wiring to run to new location. Panel to be relocated 4/15/2025. All employees received training on the new location of the annunciator panel, purpose of panel, and process if alarm sounds. The Director of Environmental Services will monitor the annunciator panel for proper functioning monthly. The Audit will be reviewed quarterly with the Quality Assurance and Performance Improvement Committee for 1 year to ensure compliance.
Penalty
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