Emergency Generator Alarm Annunciator Not Readily Observed by Staff
Penalty
Summary
The facility failed to ensure that the emergency backup generator annunciation panel was located in a place that is readily observed by operating personnel, as required by NFPA 99 standards. During an observation, it was found that the annunciation panel was installed in the maintenance office, which is not a location that allows for easy monitoring by staff responsible for facility operations. This setup could result in generator alarms not being noticed promptly. The maintenance director confirmed these findings during the surveyor's interview at the time of observation. No information about specific residents, their medical history, or their condition at the time of the deficiency was provided in the report.
Plan Of Correction
1. Annunciator panel was moved to an area readily observed by staff. 2. Audit completed of emergency notification systems to ensure location is easily accessible by staff. Corrections made as needed. 3. Administrator/Designee completed education to Maintenance Department on requirement that remote annunciation must be located outside of any locked rooms and easily accessible for staff to be notified of generator alarms. 4. Maintenance Director/Designee will complete random audits of emergency equipment and alarm devices are easily accessible to general staff with findings submitted to QAPI for review and recommendations. 5. Maintenance Director is responsible for maintaining compliance.