Emergency Generator Annunciator Panel Deficiency
Penalty
Summary
The facility failed to ensure compliance with NFPA 99 standards regarding the emergency generator's remote annunciator. During an observation, it was noted that the remote annunciator panel for the emergency generator was not functioning properly at the nurse's station on the second floor. Specifically, the panel lacked a means to indicate it was receiving power and did not have a lamp test switch to verify the operation of all alarm lamps. This deficiency was confirmed through an interview with the U.S. FOIA representative present during the survey. The issue was communicated to the facility's representative during the Life Safety Code exit conference.
Plan Of Correction
1. All residents have the potential to be affected by this deficient Life Safety Code. A qualified contractor, NJ Ex Order 26.4(b)(1), was contacted and came to assess the generator on 1/6/25 and will repair/replace the remote annunciator panel to include a means to show that it is receiving power and a lamp test switch(es) to test the operation of all alarm lamps. This work was completed by NJ Ex Order 26.4(b)(1) on 2/11/2025. 2. The Maintenance Director added a monthly annunciator panel test to the generator maintenance schedule. 3. The Maintenance Director will review the generator maintenance and inspection reports monthly to ensure that the required testing was completed timely. The results of this review will be submitted to the administrator and to the QAPI committee monthly and to the QA committee quarterly ongoing.