HospitalInspections.org

.
Based on observation, interview and document review the hospital failed to properly implement a fire watch while their fire alarm was not fully operational.

Failure to implement a fire watch when the fire alarm is not fully operational places patients, staff, and visitors at risk of injury and/or death.

Findings included:

1. Failure to ensure that life safety from fire requirements were met.

Cross-reference: A709

2. Failure to initiate an approved fire watch twenty-four hours a day, seven days per week: failed to provide dedicated staff to the fire watch, failed to post fire watch signage in the hospital, and failed to notify local fire authority of non-functioning fire alarm system.

Cross-reference: K100

3. Failure to report of non-functioning fire alarm system.

Cross-reference: K346

Due to the scope of the deficiencies cited under 42 CFR 482.41, the Condition of Participation for Physical Environment was NOT MET.

.
Based on observation, document review and interview, the hospital failed to meet the requirements of the Life Safety Code of the National Fire Protection Association (NFPA), 2012 edition.

Failure to meet the Life Safety Code of the National Fire Protection Association risks injury to patients, staff, and visitors during a fire.

Findings included:

Refer to deficiencies written on the HOSPITAL MEDICARE LIFE SAFETY CODE inspection report at shell 1BW621.
.