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K0920
E

Unauthorized Use of Extension Cords and Surge Protectors

West Chester, Pennsylvania Survey Completed on 08-05-2025

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

Surveyors observed that the facility failed to monitor and prevent the unauthorized use of surge protectors and extension cords on two of four floors. Specifically, on the 2nd floor in Room 204, an extension cord was used to power a phone charger at the B-bed, and in Room 214, various medical devices near the A-bed were powered by a surge protector. On the 1st floor in Room 104, an extension cord was also used to power a phone charger at the A-bed. These findings were made during observations conducted between 11:34 AM and 12:03 PM. During the exit conference, facility leadership, including the Administrator, Regional Director, Regional Maintenance Director, and Environmental Services Director, confirmed that the surge protector and extension cords were in use at the time of the survey. The use of these devices did not comply with NFPA 101 and related standards, which restrict the use of extension cords and power strips in patient care areas and specify the types of equipment and conditions under which they may be used.

Plan Of Correction

The facility failed to monitor for the unauthorized use of surge protectors and extension cords on two of four floors. No residents were affected. All residents have the potential to be affected. The extension cord in Room 204 at B-bed on the 2nd floor was removed to meet the requirement. The surge protector in Room 214 A-bed on the 2nd floor was removed to meet the requirement. The extension cord in Room 104 A-bed on the 1st floor was removed to meet the requirement. An audit was completed by the Maintenance Director to ensure that no unauthorized surge protectors or extension cords are in use. The Director of Maintenance and maintenance staff were educated by the Administrator on the requirement. The Maintenance Director/Designee will conduct one weekly audit to ensure compliance with unauthorized use of surge protectors and extension cords for 4 weeks, then monthly thereafter. The audits will include new residents, decorated areas, and new equipment. Results of audits will be reviewed at the Quarterly Quality Assurance and Improvement Committee Meeting over the duration of the audit process. Based on the results of the audits, a decision will be made regarding the need for continued submission and reporting.

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