Failure to Maintain Generator Testing and Maintenance Documentation
Penalty
Summary
The facility failed to maintain required documentation of generator testing and maintenance in accordance with NFPA 101, NFPA 99, and NFPA 110 standards. During a record review with the Administrator and Maintenance Director, surveyors found that there was no evidence provided for several critical generator tests and maintenance activities. Specifically, documentation was missing for the monthly 30% load test, the annual 1.5-hour load bank test, battery conductance tests, weekly battery voltage tests, annual preventative maintenance, and the annual main breaker test. The Maintenance Director confirmed that the only documentation available was the most recent report from their generator company, which did not include the required records. These findings were discussed with both the Maintenance Director and the Administrator during the exit conference. The lack of documentation for these essential electrical system tests and maintenance activities constitutes a deficiency, as it does not meet the requirements set forth by the referenced NFPA codes. No information about residents or their conditions was included in the report.