Failure to Maintain Main Elevator in Safe Operating Condition
Penalty
Summary
The facility failed to maintain the main elevator in safe operating condition for an 11-day period, during which it remained nonfunctional and posted with a "Do not use" sign. The facility’s Elevator Use and Out-of-Service policy, dated 9/22/25, was intended to ensure safe and efficient elevator use, maintain accessibility for residents and staff, and provide clear procedures when the elevator was out of service. Documentation showed that the Nursing Home Administrator was notified by the Plant Operations Director that the elevator was not functioning, and an elevator service call was placed the same day. The facility documented that there was no disruption to resident appointments or meal service and that EMS would use transport devices on the stairs in the event of an emergency. Staff interviews confirmed that, while the elevator was out of service, residents on the second floor who needed to exit the building would have to use the stairs, and visitors going to the second floor would also need to use the stairs. The Nursing Home Administrator stated that she was attempting to find another elevator company to repair the elevator because the original company, which had already received a payment, was not responding to calls. The elevator remained out of service throughout the identified period, and the facility acknowledged that it failed to maintain the main elevator in safe operating condition for those 11 days.
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