Emergency Lighting Deficiency
Penalty
Summary
The facility failed to maintain functional battery-powered emergency lighting on the second floor. During an observation on April 21, 2025, at 11:15 am, it was noted that emergency light #4, located outside the Administrator's office, had a left bulb that did not illuminate when tested. This deficiency was confirmed during an exit interview with the Facility Administrator and Maintenance Manager on the same day at 12:30 pm.
Plan Of Correction
1) Bulb was replaced and light works as designed. 2) To identify other areas of potential concern, NHA/ designee quality monitored emergency lights. No issues noted. 3) To prevent this from recurring, NHA/designee re-educated Maintenance on scheduled emergency lighting testing. 4) To monitor and maintain compliance, NHA/designee to quality monitor emergency lighting function 1x weekly x 4 weeks then 2x monthly x 1 month. Findings will be forwarded to QA Committee for review and recommendation.