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K0920
D

Improper Use of Relocatable Power Taps in Nursing Station

Fairfield, California Survey Completed on 03-19-2025

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

During a facility tour, surveyors observed a deficiency related to the improper use of electrical equipment and wiring. Specifically, at the nursing station, a relocatable power tap was found connected to another relocatable power tap, which is not compliant with NFPA 101 and NFPA 70 standards. The maintenance staff, when interviewed, stated that he was not aware that the relocatable power taps were connected to each other. This non-compliant use of electrical equipment was found to affect 16 out of 57 residents and one of three smoke compartments. The report documents that the facility failed to ensure that electrical equipment, including power strips and extension cords, was used in accordance with applicable codes and standards. The improper connection of power taps was directly observed by surveyors, and the maintenance staff's lack of awareness contributed to the deficiency. No information about corrective actions or follow-up measures is included in the report.

Plan Of Correction

K 920 Electrical Equipment - Power Cords and Extensions A. The Maintenance Supervisor immediately removed the relocatable power tap that was connected to another relocatable power tap being used at the nursing station. The two relocatable power taps are now both connected directly to the electrical power outlet. The facility is now in compliance with the use of a relocatable power tap. B. The Maintenance Staff made rounds in the facility and checked the extension cords and electrical equipment in the building to ensure compliance. No other problems were identified, same as this deficient practice. C. The Administrator provided an in-service to the Maintenance Staff regarding compliance with this deficiency regarding proper use of extension/power cords and to ensure compliance with the use of relocatable power taps; (plug directly to the wall electrical outlet and not with another power tap). D. The Maintenance Staff will monitor appropriate use of extension cords and to ensure compliance with the use of the relocatable tap during his weekly maintenance rounds. It will be documented on the "Extension Cord Monitoring Log." E. QUALITY ASSURANCE: The Administrator and the Quality Assurance Performance Improvement (QAPI) team members will discuss system effectiveness of the plan of correction for this deficient practice, such as appropriate use of extension cords and to ensure compliance with the use of the relocatable tap during his weekly maintenance rounds. Completion Date: April 18, 2025

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