NY State Tag

E

Electrical Panel Identification Deficiency

Hillside Manor Rehab & Extended Care CenterJamaica Est, New York Survey Completed on 03-31-2025

Summary

During a life safety code recertification survey conducted over two days, it was observed that the facility failed to ensure proper identification of electrical panels in accordance with the 2012 NFPA 101 standards. Specifically, on the 11th Floor, three out of four electrical panels in the Electric Room were missing identification. Similarly, on the 9th Floor, the Electric Room contained three panels without identification. Additionally, in the Loading Dock Area, a junction box with an outlet powering a bug zapper was found to be missing its protective cover. These deficiencies were noted during the survey, and the Director of Maintenance acknowledged the issues at the time of the findings.

Plan Of Correction

Plan of Correction: Approved April 27, 2025

I. Immediate Corrective Action: The following areas as identified were corrected by our facility engineering staff:

1) On 04/25/2025, the 11th Floor, in the Electric Room, three of four electrical panels had missing identification, labels applied.

2) On 04/25/2025, the 9th Floor Electric Room had 3 missing identifications, labels applied.

3) On 04/21/2025, the Loading Dock Area junction box with an outlet powering the bug zapper, the missing protective cover was installed.

II. Identification of Other Areas:

1) The Facility respectfully states that no residents were involved in this deficient practice.

2) The Facility electrician and Director of Engineering will conduct an environment review of all other areas to ensure labeling was installed in accordance with NFPA 70.

3) Any panel found to be missing identification or any exposed junction boxes will be immediately corrected.

4) Audit findings will be documented in the facility’s maintenance records.

III. Systemic Changes:

1) All engineering staff will receive in-service training on NFPA 70 panel labeling and electrical safety standards.

IV. Quality Assurance:

1) The Director of Engineering/designee will conduct monthly audits of lighting and electrical enclosure to ensure compliance with NFPA 70.

2) Audits identified with quality issues, the engineering department will contact the facility Electrician for corrective actions as needed.

3) These inspections will be reported quarterly to QA committee for oversight and continuous improvement.

V. Responsible Person: Director of Engineering

Penalty

No penalty information released