Nursing Investigation Results -

Pennsylvania Department of Health
Building Inspection Results

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Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
Inspection Results For:

There are  17 surveys for this facility. Please select a date to view the survey results.

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BERKSHIRE EYE SURGERY CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:Name: MAIN BUILDING 01 - Component: 01 - Tag: 0000

Facility ID #15291501
Component 01
Main Building

Based on a Relicensure Survey completed on February 24, 2020, it was determined that Berkshire Eye Surgery Center was not in compliance with the following requirements of the Life Safety Code for an existing ambulatory health care occupancy.

This is a one-story, Type V (000), unprotected wood frame structure, with a partial basement, which is fully sprinklered.

 Plan of Correction:

28 Pa. Code 569.2 STANDARD Electrical Systems -Essential Electric System:State only Deficiency.
Electrical Systems - Essential Electric System Maintenance and Testing
The generator or other alternate power source and associated equipment is capable of supplying service within 10 seconds. If the 10-second criterion is not met during the monthly test, a process shall be provided to annually confirm this capability for the life safety and critical branches. Maintenance and testing of the generator and transfer switches are performed in accordance with NFPA 110.
Generator sets are inspected weekly, exercised under load 30 minutes 12 times a year in 20-40 day intervals, and exercised once every 36 months for four continuous hours. Scheduled test under load conditions include a complete simulated cold start and automatic or manual transfer of all EES loads, and are conducted by competent personnel. Maintenance and testing of stored energy power sources (Type 3 EES) are in accordance with NFPA 111. Main and feeder circuit breakers are inspected annually, and a program for periodically exercising the components is established according to manufacturer requirements. Written records of maintenance and testing are maintained and readily available. EES electrical panels and circuits are marked and readily identifiable. Minimizing the possibility of damage of the emergency power source is a design consideration for new installations.
6.4.4, 6.5.4, 6.6.4 (NFPA 99), NFPA 110, NFPA 111, 700.10 (NFPA 70)
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0918

Based on observation and interview, it was determined the facility failed to supply an emergency stop button outside the generator enclosure, which serves the entire component.

Findings include:

1. Observation on February 24, 2020, at 11:22 AM revealed the emergency generator did not have an emergency stop button, located outside the generator enclosure.

Interview at the time of the exit conference with the Administrator on February 24, 2020, at 12:00 PM confirmed the emergency stop button had not been installed.

 Plan of Correction - To be completed: 03/19/2020

Premium Power performs the maintenance on the Center's generator. The proposal for adding the external emergency stop for the generator has been signed and the work will be performed on March 19, 2020.

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