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K0918
F

Failure to Perform Required Generator Battery Testing

Ishpeming, Michigan Survey Completed on 05-19-2025

Penalty

No penalty information released
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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 conduct required specific gravity or conductance testing of the generator batteries during several months, specifically in May 2024 and from July 2024 through the time of the survey. This omission was identified during a record review on May 19, 2025, and was confirmed by the Maintenance Director at the time of discovery. This deficiency indicates that the facility did not adhere to the maintenance and testing protocols for emergency power systems as outlined in NFPA 110, NFPA 99, NFPA 111, and NFPA 70. The lack of documented battery testing could affect all occupants in the event of a power failure, as the reliability of the generator or alternative power source could not be assured.

Plan Of Correction

Element 1: Facility failed to ensure generator battery was tested for specific gravity. Battery was replaced 06/04/2025 which allows for specific gravity measurement. Element 2: All occupants have the potential to be impacted in the event of power loss. Element 3: Battery was replaced 06/04/2025 which allows for specific gravity measurement. Reading was in compliance on 06/04/2025. Element 4: Physical Plant Manager will be responsible for sustained compliance. Audits will be done monthly and brought to QAPI.

See complete original report
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