Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
K0291
C

Failure to Document Annual Emergency Lighting Tests

Belleville, Pennsylvania Survey Completed on 04-23-2025

Penalty

No penalty information released
tooltip icon
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 proper documentation verifying that the battery back-up emergency lighting system had undergone the required annual testing. This deficiency was identified during a document review conducted on April 22, 2025, between 9:30 AM and 11:15 AM. The review revealed that there was no documentation available to confirm that the emergency lighting system, which is supposed to provide at least 1-1/2-hour duration of lighting automatically, had been tested annually as required by NFPA 101 standards. During an exit interview on April 23, 2025, at 1:15 PM, the Chief Executive Officer and the Director of Campus Services confirmed the absence of documentation verifying the annual tests of the battery back-up lighting system. This lack of documentation affects the entire component of the emergency lighting system, indicating a failure to comply with the necessary safety standards for emergency preparedness.

Plan Of Correction

Battery back-up emergency lighting testing will be completed. Maintenance staff will be educated on completion of battery back up emergency light testing. Battery back-up emergency lighting testing will be conducted and repeated annually. Random audit will be completed quarterly to ensure that battery back-up emergency lighting testing has been completed. Results will be reported to the Quality Assurance Steering Committee. Battery back-up emergency lighting testing will be completed. Maintenance staff will be educated on completion of battery back up emergency light testing. Battery back-up emergency lighting testing will be conducted and repeated annually. Random audit will be completed quarterly to ensure that battery back-up emergency lighting testing has been completed. Results will be reported to the Quality Assurance Steering Committee. Battery back-up emergency lighting testing will be completed. Maintenance staff will be educated on completion of battery back up emergency light testing. Battery back-up emergency lighting testing will be conducted and repeated annually. Random audit will be completed quarterly to ensure that battery back-up emergency lighting testing has been completed. Results will be reported to the Quality Assurance Steering Committee.

See complete original report
An unhandled error has occurred. Reload 🗙