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K0511
E

Combustible Storage Blocking Access to Electrical Panels

Holland, Michigan Survey Completed on 05-08-2025

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

Observation on May 8, 2025, revealed that combustible storage was blocking access to the electrical panels and generator transfer switch in the mechanical, networking, and generator transfer switch room. This situation was identified during a walkthrough and confirmed by interview with the facility Maintenance Director at the time of observation. The report notes that this arrangement does not comply with NFPA 70, National Electric Code, which requires clear access to electrical equipment. The deficiency could potentially affect 20 occupants and staff within the smoke compartment if immediate access to the electrical panels is needed during an electrical or fire emergency.

Plan Of Correction

The items in front of the electrical panel in the mechanical/networking/transfer switch room were moved by the Maintenance Director on 5-21-25. A one-time audit was completed by the Maintenance Director on 5-21-25 to ensure all storage room areas and electrical panel locations were free from items which would prevent access to them. Education was provided to the Maintenance Staff on 5-20-25 as to the requirements of having a clear path and space in front of all electrical panels. A weekly audit x4 than monthly x3 will be completed by the Maintenance Director or designee to ensure all areas in front of electrical panels are free from items that would restrict access to them. Audit findings will be presented to the facility QAPI committee and will only be discontinued with substantial compliance and with approval of the facility QAPI. The Administrator is responsible for achieving and sustaining compliance.

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