Failure to Provide Emergency Illumination
Summary
The facility failed to provide emergency illumination that would operate automatically along the means of egress, as required by NFPA 101, 2012 Edition, Section 19.2.8 and 7.8. During an observation, it was noted that the first-floor hallway lights were all controlled by a wall switch, and when the switch was turned off, there was no illumination available for the means of egress. This lack of emergency lighting was confirmed during an interview with the Director of Environmental Services, who acknowledged that although the lights were connected to the generator, they would not function if the switch was off. The Director was aware of the requirement for the egress pathway to have illumination, especially for evacuation purposes at night.
Plan Of Correction
Plan of Correction: Approved May 5, 2025 The light switch was removed from one side of the hall on both north and south hallways on both the first and second floors, allowing the lights to offer continuous illumination. All Maintenance Employees will receive education on illumination on means of egress, including exit discharge and the importance of illumination in the event of an emergency and evacuation is necessary. The Director of Environmental Services or designee will audit lighting monthly to ensure the lights are in proper working order. The audit will be reviewed quarterly with the Quality Assurance and Performance Improvement committee for 1 year to ensure compliance. Person Responsible: The Director of Environmental Services
Penalty
Trusted data from CMS and state health departments
Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release July 29, 2026) and official state health department websites — never guesswork.
In your survey window? See what surveyors are citing.
The Survey-Prep Report maps your facility's risk from 12 months of CMS and state citation data — what's being cited around you and what to check first. $129 one-time.