Exit Sign with Battery Backup Failed to Illuminate During Test
Penalty
Summary
During a facility tour and interview with the Environmental Supervisor, it was observed that an exit sign with a battery backup located in the corridor near the exit to the Back Walkway by the kitchen failed to illuminate when tested. The deficiency was identified on 6/10/25 at 8:46 a.m. when the exit sign did not function as required during a test. The Environmental Supervisor confirmed that the exit sign had been tested the week prior to the survey. This failure affected 15 of 35 residents and one of two smoke compartments. The report cites that exit and directional signs must be displayed and continuously illuminated in accordance with NFPA 101, Life Safety Code, 2012 Edition, and that battery-powered exit signs must be tested and maintained as specified. The facility did not maintain the exit sign in accordance with these requirements, as evidenced by the failed test and the lack of continuous illumination.
Plan Of Correction
1. Corrective Action: The battery powered exit sign located in the corridor near the exit to the Back Walkway near the kitchen is now illuminating when tested. A new battery was installed on 06/11/2025. II. How the facility will identify other residents: All residents have the potential to be affected by this practice. III. Systemic Change: Battery powered exit signs will be checked monthly by the Maintenance Supervisor. IV. Monitoring Process: The facility will monitor its performance through our QAPI process. V. Date of Correction: 06/11/2025