Failure to Document Annual Emergency Lighting Test
Penalty
Summary
The facility failed to ensure that annual 90-minute testing of battery backup emergency lighting was conducted and documented as required. During a document review, surveyors found that the facility could not provide documentation showing that the required annual testing of emergency lighting had been performed. This deficiency was confirmed during an exit interview with the Maintenance Supervisor and Director of Safety/Security, who acknowledged the absence of the annual testing report. 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
90-minute test of battery backup lighting completed and on file. Facility will ensure that proof of testing is available for survey team during all inspections.