Exposed Electrical Wiring Due to Missing Junction Box Cover
Summary
During an inspection, it was observed that an electrical junction box located above the Zone 8 suspended ceiling, near the smoke barrier doors by the Unit Scheduler's Office, was missing a cover plate. This resulted in exposed electrical wiring. The Director of Maintenance confirmed the presence of the exposed wiring at the time of the observation. No information regarding residents or their medical conditions was provided in relation to this deficiency.
Plan Of Correction
The electrical junction box cover plate was replaced above the suspended ceiling in Zone 8. Maintenance staff will be educated on ensuring cover plates are in place for junction boxes moving forward. The Maintenance Director/Designee will perform an audit on junction box cover plates when work is completed above the ceiling to ensure the junction boxes have a cover plate in place. Results of audits will be forwarded to the QAPI Committee.
Penalty
Surveyors identified that the facility’s electrical system was not maintained according to NFPA 101 and NFPA 70. In the kitchen electrical panel, breakers labeled for the dishwasher were in the off position while the dishwasher continued to run with power. In generator sub panel B, a breaker was labeled for a sprinkler pump even though no sprinkler pump existed, and there was an open breaker position without a blank cover. These issues were confirmed by the Maintenance Director and had the potential to affect all residents.
Improperly Labeled and Maintained Electrical Panels
Penalty
Summary
Surveyors found that the facility failed to maintain its electrical system in accordance with NFPA 101-2012 and NFPA 70-2011, potentially affecting all 69 residents. During a tour of the facility, surveyors observed in the kitchen electrical panel that the breakers labeled for the facility’s dishwasher were in the off position while the dishwasher itself was running and had power. Later, in generator sub panel B, surveyors noted a breaker labeled as a sprinkler pump even though the facility did not have a sprinkler pump, as well as an open breaker space without a blank installed. The Maintenance Director confirmed these findings at the time they were discovered. No specific residents, medical histories, or clinical conditions were mentioned in relation to these deficiencies.
Plan Of Correction
1.Based on observation and staff interview, no residents experienced negative outcomes related to electrical system deficiencies. The facility's kitchen dishwasher breakers were in the off position; the dishwasher was running and had power. It was also noted that in generator sub panel B there was a breaker listed as sprinkler pump as well as an open breaker that has no blank, while the facility has no sprinkler pump. 2.The Medical Director was notified by LNHA on 03/26/2026 of deficiencies including improper breaker configuration and labeling. 3.Electrical deficiencies will be corrected by licensed electrician on or before 04/30/2026. 4.Monthly inspections will be conducted and compliance reviewed in QAPI. 5.LNHA educated 03/26/2026 regarding the requirements for maintaining the facility's electrical equipment, including the requirements for the facility's kitchen dishwasher breakers' requirements in power being active and breaker reflecting that it is on, and vice versa. Also, Maintenance Direct was educated in the importance of ensuring the appropriate labeling of breakers.
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