Lack of Remote Emergency Stop for Generator
Penalty
Summary
The facility failed to ensure compliance with NFPA 110 requirements regarding the installation of a remote manual stop station for its emergency generator. During an observation, the surveyor found that the 400 KW diesel emergency generator only had an emergency stop button located on the metal housing of the generator itself. There was no evidence of a remote emergency stop button installed as required by NFPA 110, 2010 Edition, Section 5.6.5.6 and 5.6.5.6.1. This deficiency was confirmed during interviews with facility representatives, who acknowledged the absence of a remote emergency stop button for the generator. The issue was brought to the attention of the facility during the Life Safety Code survey exit. The lack of a remote stop station had the potential to affect 117 residents, as noted in the report.
Plan Of Correction
1. Address how corrective action will be accomplished for those residents found to have been affected by the deficient practice: A remote manual stop station for 1 of 1 of emergency generators was installed in accordance with NFPA 110, 2010 Edition Section 5.5.6 and 5.6.5.6.1. 2. Address how the facility will identify other residents having the potential to be affected by the same deficient practice: All residents have the potential to be affected by this deficient practice. 3. Address what measures will be put into place or systemic changes made to ensure that the deficient practice will not recur: [R] was educated on K918 to ensure compliance is maintained by the Administrator. 4. Indicate how the facility plans to monitor its performance to make sure that solutions are lasting: Administrator or Designee will ensure that the remote manual stop for 1 of 1 emergency generator is installed and remains operational. Audits will be conducted on a monthly basis. Findings will be reported monthly to the QAPI committee meeting until substantial compliance has been met.