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P O BOX 100, 211 E KIMBALL

CALLAWAY, NE 68825

Electrical Systems - Maintenance and Testing

Tag No.: K0914

Based on record review and interview, the facility failed to conduct testing of non-hospital grade receptacles at patient bed locations, including the continuity of the grounding circuit, polarity, and retention force. This deficient practice increased the risk of fire from an outlet. The facility has the capacity for 12 beds with a census of 4 on the day of survey.

Findings are:
1) Record review on 2-27-24, at 3:15 P.M. revealed: documentation of annual patient bed location receptacle testing was not provided for review.

2) During an interview on 2-27-24 at 3:15 P.M., Maintenance Staff confirmed the testing documentation was not provided and testing was not implemented.

NFPA Standard:
NFPA 99, 2012, 6.3.4.1.1
Where hospital-grade receptacles are required at patient bed locations and in locations where deep sedation or general anesthesia is administered, testing shall be performed after initial installation, replacement, or servicing of the device.
6.3.4.1.2 Additional testing of receptacles in patient care rooms shall be performed at intervals defined by documented performance data.
6.3.4.1.3 Receptacles not listed as hospital-grade, at patient bed locations and in locations where deep sedation or general anesthesia is administered, shall be tested at intervals not exceeding 12 months.
6.3.3.2 Receptacle Testing in Patient Care Rooms.
6.3.3.2.1 The physical integrity of each receptacle shall be confirmed by visual inspection.
6.3.3.2.2 The continuity of the grounding circuit in each electrical receptacle shall be verified.
6.3.3.2.3 Correct polarity of the hot and neutral connections in each electrical receptacle shall be confirmed.
6.3.3.2.4 The retention force of the grounding blade of each electrical receptacle (except locking-type receptacles) shall be not less than 115 g (4 oz).