HospitalInspections.org

Based on observation on -4/20/2010, 10 AM onward, the following was noted:

a.The facility utilizes delayed egress locks and NC special locking systems (electromagnetic locks) on required exit doors. These systems are allowed only in facilities that are fully covered by either an automatic,supervised sprinkler system and/or an automatic,supervised smoke or heat detection system. This facility is not fully covered by either or a combination thereof.



d. The delayed egress system on the birthing and nursery floor (2nd floor) is activated by a transmitter. If the delayed egress process is activated by pressure applied to the release device, the door must unlock and remain unlocked until manually relocked. These locks automatically relock if another transmitter is brought with in range of the door.

e. Some of these doors/locks relock if the fire alarm is placed in the silenced mode and has not been reset. These doors may not relock until the Fire Alarm has been reset.

f. There are electromagnetic locks on the first (1) floor that only have a card swipe to unlock the door ( no emergency override switch) . This also includes the exit door at the birthing area.

h. There are some doors on all floors that require two (2) motions of the hand in order to exit the rooms.

NOTE: All remaining items for this deficiencies are waivered


42 CFR 483.70 (a)
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A. Based on observation on 04/20/2010 there was no audible/visual trouble signal received when the battery back-up was disconnected in the 4th floor FACP (Fire Alarm Control Panel).


NOTE: this deficiencie is waivered