Bringing transparency to federal inspections
Tag No.: K0130
Based on observations made during the survey of the facility between the hours of 3:00 pm and 6:00 pm, while accompanied by the CEO, Admin. Svcs. Dir., Chief Nursing Off., Dir. Of Infomatics, and the Building Maint. Person it was observed that while it appears the facility had accomplished some of the requirements, the facility failed to provide logs indicating consistent, systematic compliance on the following issues and items:
1. Air filter change log.
2. Electrical equipment inspections - Biomedical.
Critical Areas: Semi-annually.
General Areas: Annually
3. Electrical power and distribution and grounding systems - Effectiveness.
Critical Areas: Semi-annually.
General Areas: Annually