Bringing transparency to federal inspections
Tag No.: K0372
Based on observations the facility failed to provide the required 30-minute fire resistance rating for smoke barrier walls in accordance with NFPA 101 sections 19.3.7.3, 8.5, 8.5.6. These deficient practices affected the entire facility on the day of survey.
Findings Inclue:
On 8/02/22 at 1:50 pm, observation revealed incomplete smoke barrier wall in the facility. The smoke barrier did not extend to the roof deck of the facility. There was no identifiable smoke barrier wall separating the sprinkled area (with patients' rooms) from the non-sprinkled area of the facility.
Observation also revealed incomplete solid membrane ceiling which could not be used as smoke barrier. The lay-in ceiling in the facility was incapable of resisting the passage of smoke throughout the facility and did not have one-half (1/2) hour fire rating.
The finding was acknowledged by the Administrator and verified by the Maintenance Supervisor during the exit interview.