Failure to Maintain Emergency Power System and Annual Diesel Fuel Testing
Penalty
Summary
The facility failed to maintain its Emergency Power System (EPS) in accordance with NFPA 80 and NFPA 110 requirements. During a record review with the Administrator and Maintenance Director, it was found that the emergency generator engine manufacturer's recommendations were not available for reference. Additionally, the facility did not conduct the required annual testing of the generator's diesel fuel as specified by the relevant codes. These deficiencies were confirmed during interviews with the Maintenance Director, who concurred with the findings. The lack of documentation and failure to perform the mandated fuel testing were acknowledged by both the Administrator and Maintenance Director during the exit conference. No information about residents or their conditions was provided in the report.