Failure to Provide Emergency Lighting at Generator Transfer Switches
Penalty
Summary
The facility failed to provide automatic emergency lighting in accordance with regulatory requirements, specifically at the emergency generator transfer switches located in the electrical room. During an observation on March 26, 2025, it was noted that there was no battery pack powered emergency light installed at these transfer switches. This deficiency was confirmed through an interview with the facility Maintenance Director at the time of the observation. No information regarding specific residents, their medical history, or their condition at the time of the deficiency was provided in the report.
Plan Of Correction
K291 1. No residents were harmed as a result of this deficient practice. 2. An emergency battery pack powered light has been installed in the electrical room. 3. The QAPI Committee has directed the Director of Plant Operations/designee to perform random audits of facility emergency lighting x 4 weeks to ensure operations. The Administrator is responsible for ensuring that substantial compliance is attained through the Plan of Correction and is maintained thereafter. The results will be provided to the QAPI Committee for further follow-up and review.