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SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL
Electrical Systems - Essential Electric Syste
Tag No.: K0918
STANDARD is not met as evidenced by: Based on record review and staff interview during the course of the survey it was determined that the facility failed to maintain emergency power systems in accordance with section 19.2.9.1 of the Life Safety Code and the referenced 2010 NFPA 110, Section 8.3.7.1 Maintenance and Operational Testing. This deficient practice has the potential to affect all residents, staff and visitors in the event of power loss.
This was evidenced by the following.
At the time of the survey no records were available to verify testing and recording of battery conductance testing in connection with the emergency power supply system (emergency generator) monthly.
The emergency power supply system deficiency item was discussed with the Director of Maintenance during the survey and again during the exit conference with the Administrator.
NFPA 110, Section 8.3.7. Maintenance of lead-acid batteries shall include the monthly testing and recording of electrolyte specific gravity. Battery conductance testing shall be permitted in lieu of the testing of specific gravity when applicable or warranted.