Deficiency in Emergency Lighting in Resident Areas
Summary
The facility was found to be deficient in providing emergency illumination in accordance with the National Fire Protection Association (NFPA) 101 Life Safety Code, 2012 Edition Sections 19.2.8 and 7.8. During a recertification survey, it was observed that the activities room and dining room did not have emergency lighting that would operate automatically without manual intervention along the means of egress to the public way. This deficiency was confirmed during an interview with the Associate Vice President of Patient Care Operations, who acknowledged the absence of emergency lighting in these areas and stated that it would be installed in the skilled nursing unit.
Plan Of Correction
Plan of Correction: Approved March 6, 2025 1. Lighting controls within the Dining and Activity rooms will be changed to maintain constant illumination within the Dining and Activity Room per NFPA 101: 7.8. Specific fixtures identified will be connected to emergency power circuits. 2. Facilities will verify the lights operate continuously and cannot be turned off with a wall switch. Facilities will survey all other areas of the Skilled Nursing Unit and the adjacent, 5 Main East wing to verify that the emergency lighting system conditions are in compliance with NFPA 101: 7.8. This survey will be completed by (MONTH) 10, 2025. 3. The Environment of Care Checklist will be modified to include evaluation of emergency lighting to ensure conformance with NFPA 101: 7.8. This will be completed by (MONTH) 10, 2025. 4. The Facility currently conducts checks of all emergency lighting on the Skilled Nursing Unit on a monthly frequency. Documentation is maintained by Facilities. 5. Associated Vice President of Facilities
Penalty
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