Noncompliance with Gas and Electrical Safety Standards
Penalty
Summary
The facility failed to ensure that equipment using gas or gas-related piping complied with NFPA 54 and that electrical wiring and equipment complied with NFPA 70. During observations, surveyors found two ceiling-mounted light sockets with the bases of broken light bulbs still inside the sockets in the Business/Activities Supply Cage. Combustible stock items were stored within three feet of electrical panels in both the Laundry and Sump Pump Room. Additionally, a Greenfield conduit was found displaced, exposing inner wires at the plug to the relay in the back of a boiler in the North Boiler Room. These deficiencies were confirmed through interviews with the facility Maintenance Director and the Corporate Operations Director at the time of observation.
Plan Of Correction
K 511 Element # 1 The (2) ceiling mounted light sockets in the Business/activities Supply cage with broken light bulbs, were repaired. The items stored in the Laundry Room within 3 of the electrical panel were removed. The Greenfield Conduit in the North Boiler Room was repaired. The combustible items within 3 of electrical panel in the sump pump room were removed. Element # 2 Current residents have the potential to be affected by the deficient practice. The facility's electrical equipment was evaluated to ensure proper maintenance. Any deficiencies found were corrected. Element # 3 The Maintenance Department was re-educated on properly maintained electrical equipment. Element # 4 The Administrator and/or designee will conduct random audits of the emergency preparedness plan x1/week for 1 month, then weekly for 1 month and then monthly for 3 months to ensure substantial compliance with a geographically specific risk assessment. Results of the audits will be brought to the QAPI committee. The Administrator is responsible for sustained compliance. Date of Compliance: 7/8/2025
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