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K0918
F

Failure to Maintain Emergency Generator Annunciator Panel

Pottstown, Pennsylvania Survey Completed on 08-06-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain the emergency generator system as required by NFPA standards. During an observation on July 30, 2025, at 11:50 a.m., it was found that the annunciator panel, located at the first floor Nurses Station, was not supplied with electricity and did not function when tested. This panel is a critical component for monitoring the status of the emergency generator system. The deficiency was confirmed during an exit interview with the Administrator and Maintenance Director on the same day. The lack of a functioning annunciator panel affected the entire facility, as it compromised the ability to monitor and respond to emergency power needs as outlined in regulatory requirements.

Plan Of Correction

Vendor out on 8/13/25 to replace annunciator panel. Maintenance director was reeducated by NHA/Designee on K0918 with focus on proper maintenance of emergency generator. Maintenance director/designee will monitor the monthly generator log for four months to ensure compliance. Results of the audits to be reviewed at the QAA committee to determine the need for further follow-up/monitoring.

See complete original report
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