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ASCENSION ST JOHN OWASSO
No Description Available
Tag No.: K0050
Based on observation, interview with staff and observation, the facility failed to provide complete documentation of fire drill evaluation of performance reports. 18.7.1.2 Finding:
The fire drill evaluation of performance report for a fire drill conducted on January 9, 2012 was not signed and dated.
No Description Available
Tag No.: K0078
Based on observation, interview with staff and review of records, the facility failed to maintain relative humidity equal to or greater than 35% in anesthetizing locations. Findings:
Records provided for January and February 2011, recorded humidity levels below 35% on multiple days.
No Description Available
Tag No.: K0130
Based on observation and interview with staff, the facility failed to provide Operating Room Physicians and Surgeons with periodic review of surgical operations and procedures for Fire Loss Prevention in accordance with NFPA 99 12-4.1.2.10. Finding:
The facility was unable to provide documentation of periodic review of surgical operations and procedures for Fire Loss Prevention for the Operating Room Physicians and Surgeons.
LIFE SAFETY CODE STANDARD
Tag No.: K0050
Based on observation, interview with staff and observation, the facility failed to provide complete documentation of fire drill evaluation of performance reports. 18.7.1.2 Finding:
The fire drill evaluation of performance report for a fire drill conducted on January 9, 2012 was not signed and dated.
LIFE SAFETY CODE STANDARD
Tag No.: K0078
Based on observation, interview with staff and review of records, the facility failed to maintain relative humidity equal to or greater than 35% in anesthetizing locations. Findings:
Records provided for January and February 2011, recorded humidity levels below 35% on multiple days.
LIFE SAFETY CODE STANDARD
Tag No.: K0130
Based on observation and interview with staff, the facility failed to provide Operating Room Physicians and Surgeons with periodic review of surgical operations and procedures for Fire Loss Prevention in accordance with NFPA 99 12-4.1.2.10. Finding:
The facility was unable to provide documentation of periodic review of surgical operations and procedures for Fire Loss Prevention for the Operating Room Physicians and Surgeons.