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Receptacle Test

Receptacle test for residents rooms needs to be done once a year. If receptacle needs to be changed it must be hospital grade with the green dot on it
HillTop Nursing Home And Rehabilitation Center
11/16/2022

Receptacle Test

Receptacle test for residents rooms needs to be done once a year. If receptacle needs to be changed it must be hospital grade with the green dot on it

    A-Hall

    1

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    2

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    3

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    4

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    5

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    6

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    7

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    8

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    9

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    10

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    11

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    12

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    13

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    14

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    15

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    16

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    17

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    18

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    19

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    20

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    B-Hall Room 21

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    22

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    23

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    24

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    25

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    26

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    27

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    28

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    29

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    30

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    31

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    32

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    33

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    34

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    35

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    C-Hall Room 36

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    37

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    38

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    39

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    40

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    41

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    42

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    43

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    44

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    45

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    46

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    D-Wing Room 47

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    48

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    49

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    50

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    51

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    52

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    53

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    54

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    55

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    56

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    57

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    58

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    59

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    60

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    61

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    62

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    E-Hall Room 63

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    64

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    65

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    66

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    67

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    68

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    69

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    70

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    71

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    72

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    73

    Phisical Condition

    • Pass
    • Flag
    • Fail

    Ground Continuity

    • Pass
    • Flag
    • Fail

    Polarity Check

    • Pass
    • Flag
    • Fail

    If Fail, corrective action

    Sign

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Source: HillTop Nursing Home And Rehabilitation Center (Community Member)

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