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K0911
E

Electrical System Deficiencies Found in Facility

Newtown Square, Pennsylvania Survey Completed on 04-17-2025

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 failed to maintain electrical system requirements as per NFPA 70 and NFPA 99, affecting one of two levels of the facility. During an observation on April 17, 2025, between 9:05 a.m. and 9:08 a.m., two unsecured junction boxes were found above the ceiling on the first floor, near the rehab area and in front of the laundry. Additionally, at 10:05 a.m. on the same day, an observation inside the Hood Mechanical Room revealed a metal clad conduit wire with exposed wiring. These deficiencies were confirmed during an exit interview with the Administrator on April 17, 2025, at 11:15 a.m.

Plan Of Correction

The junction boxes will be secured on or by 5/23/2025. The exposed wire will be correct on or by 5/23/2025. Above ceiling audits for unsecure junction boxes will be made part of the Maintenance Quarterly Safety inspections by 5/23/2025. All maintenance mechanics will be inserviced on this by 5/23/2025. The exposed wire will be replaced on or by 5/30/2025 by Dunwoody's contracted electrician. This will be inspected quarterly by the Maintenance Manager or Designee and made part of the Maintenance Quarterly Safety inspections by 5/30/2025. All maintenance mechanics will be inserviced on this by 5/30/2025.

See complete original report
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