HospitalInspections.org

Based on observations it was determined that the health care facility failed to maintain the spray fire proofing in several locations in the facility.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that there was missing or damaged fire proofing in;

1. The 2nd floor shell space
2. Penthouse #6
3. The birthing center riser room
4. The ceiling above the birthing center
5. The generator room.


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility failed to maintain the correct operation of patient room doors.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that following doors to patient rooms would not close and latch;

1. 2102
2. 2103
3. 2104
4. 3201
5. 3207


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility had three smoke compartments that were larger then the maximum allowable square footage.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that there were two smoke compartments on the first floor and one on the second floor that were larger then the maximum allowable square footage of 22,500.


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility failed to maintain the integrity of rated separations.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that there were penetrations;

1. In linen cart closet 2209
2. Above FD003SB
3. In elevator bank 1,2 and 3 on the first floor


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility failed to maintain an exit stairwell.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that there was a gate in the 79 basement stairwell by the first floor that would not stay closed to prevent exiting occupants from going to the basement instead of discharging at the first floor.


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility failed to maintain an exit access.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that there was an inadequate exit access for the labeled exit in the physicians reading area.


An interview on 5/21/2013 with the hospital administrator confirmed these findings.

Based on observations it was determined that the health care facility failed to maintain proper exit signage.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that there was a mislabeled exit in the lab hallway.


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility failed to provide proper sprinkler coverage in various locations.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that;

1. There was no sprinkler provided in the labor and delivery clean supply room.
2. There inadequate sprinkler clearance in CCU nurse managers office.
3. There were two sprinkler heads within 6' of each other in the respiratory therapy storage room.


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility failed to maintain various components of the fire suppression equipment throughout the facility.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that;

1. There was un supported sprinkler piping in penthouse #5 that was moving considerably when fan was running in adjacent HVAC equipment.
2. There was excessive accumulation of dust on several sprinkler heads in the kitchen
3. The supression systems for the hoods in the kitchen and the retail fryer area were tagged as non compliant by third party inspectors.
4. The manual activation pull station for the kitchen hood supression system was obstructed.
5. The nozzle placement for kitchen hood supression system over the stove was not properly aligned.
6. There was a condensate line suspended from sprinkler piping in the laundry room.
7. There were missing escutcheon rings in the dining room and the lab transcription office(x2).


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility failed to maintain the retail fryer hood filters.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that the filters in the hood system over the retail fryer did not fit correctly.


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility had various electrical violations.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that;

1. There was a power strip not plugged directly into the wall receptacle in the Nurse Managers office
2. There were open "J" boxes with exposed wires in penthouse #5, above FD0302FW, in the ET electrical closet, in the radiology electrical room, in the switch gear room, in the chiller room, in the laundry room and above FD004SB
3. There were daisy chained power strips in the 3 west nurses station.
4. There was a missing electrical knock out above the ceiling by door CD001.
5. There were openings in panel boxes in OPI electrical closet, under the exhibition station in the dining room and in the progressive care clean storage room.
6. There was no signage provide for the electrical room in progressive care.
7. There was an extension cord above the ceiling by FD004SB
8. There were exposed wires on the motor for the dishwasher.(Corrected onsite by an electrician)
9. There was a lose panel box cover in radiology, box LIK.


An interview on 5/21/2013 with the hospital administrator confirmed these findings.

Based on observations it was determined that the health care facility failed to maintain the spray fire proofing in several locations in the facility.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that there was missing or damaged fire proofing in;

1. The 2nd floor shell space
2. Penthouse #6
3. The birthing center riser room
4. The ceiling above the birthing center
5. The generator room.


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility failed to maintain the correct operation of patient room doors.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that following doors to patient rooms would not close and latch;

1. 2102
2. 2103
3. 2104
4. 3201
5. 3207


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility had three smoke compartments that were larger then the maximum allowable square footage.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that there were two smoke compartments on the first floor and one on the second floor that were larger then the maximum allowable square footage of 22,500.


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility failed to maintain the integrity of rated separations.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that there were penetrations;

1. In linen cart closet 2209
2. Above FD003SB
3. In elevator bank 1,2 and 3 on the first floor


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility failed to maintain an exit stairwell.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that there was a gate in the 79 basement stairwell by the first floor that would not stay closed to prevent exiting occupants from going to the basement instead of discharging at the first floor.


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility failed to maintain an exit access.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that there was an inadequate exit access for the labeled exit in the physicians reading area.


An interview on 5/21/2013 with the hospital administrator confirmed these findings.

Based on observations it was determined that the health care facility failed to maintain proper exit signage.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that there was a mislabeled exit in the lab hallway.


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility failed to provide proper sprinkler coverage in various locations.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that;

1. There was no sprinkler provided in the labor and delivery clean supply room.
2. There inadequate sprinkler clearance in CCU nurse managers office.
3. There were two sprinkler heads within 6' of each other in the respiratory therapy storage room.


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility failed to maintain various components of the fire suppression equipment throughout the facility.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that;

1. There was un supported sprinkler piping in penthouse #5 that was moving considerably when fan was running in adjacent HVAC equipment.
2. There was excessive accumulation of dust on several sprinkler heads in the kitchen
3. The supression systems for the hoods in the kitchen and the retail fryer area were tagged as non compliant by third party inspectors.
4. The manual activation pull station for the kitchen hood supression system was obstructed.
5. The nozzle placement for kitchen hood supression system over the stove was not properly aligned.
6. There was a condensate line suspended from sprinkler piping in the laundry room.
7. There were missing escutcheon rings in the dining room and the lab transcription office(x2).


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility failed to maintain the retail fryer hood filters.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that the filters in the hood system over the retail fryer did not fit correctly.


An interview on 5/21/2013 with the hospital administrator confirmed these findings

Based on observations it was determined that the health care facility had various electrical violations.

The Findings Include:

On 5/21/2013 it was revealed by observation and interview that;

1. There was a power strip not plugged directly into the wall receptacle in the Nurse Managers office
2. There were open "J" boxes with exposed wires in penthouse #5, above FD0302FW, in the ET electrical closet, in the radiology electrical room, in the switch gear room, in the chiller room, in the laundry room and above FD004SB
3. There were daisy chained power strips in the 3 west nurses station.
4. There was a missing electrical knock out above the ceiling by door CD001.
5. There were openings in panel boxes in OPI electrical closet, under the exhibition station in the dining room and in the progressive care clean storage room.
6. There was no signage provide for the electrical room in progressive care.
7. There was an extension cord above the ceiling by FD004SB
8. There were exposed wires on the motor for the dishwasher.(Corrected onsite by an electrician)
9. There was a lose panel box cover in radiology, box LIK.


An interview on 5/21/2013 with the hospital administrator confirmed these findings.