HospitalInspections.org

Based on surveyor observation and staff interview, the facility failed to provide doors to the corridor that resist the passage of smoke. The facility has a capacity of 81 and a census of 30.

Findings include:

Observations and staff interview on 03/31/14, revealed 4 approximately 3/8-inch holes through the door to the Emergency Room Lounge.

Maintenance Staff A observed this finding.

Based on surveyor observation and staff interview, the facility failed to provide smoke barrier doors that resist the passage of smoke. The facility has a capacity of 81 and a census of 30.

Findings include:

Observations and staff interview on 03/31/14, revealed an approximately 1/4-inch gap between the smoke doors (when in the closed position) located near Room 204.

Maintenance Staff A observed this finding.

Based on surveyor observation and staff interview, the facility failed to separate hazardous areas from other areas of the building. The facility has a capacity of 81 and a census of 30.

Findings include:

Observations and staff interview on 03/31/14, revealed the following hazardous area deficiencies:

1. Approximately 1/2-inch penetrations around 2 electrical junction boxes located on the ceiling of the Ambulance Garage.
2. An approximately 1/2-inch penetration around a conduit through the wall above the door to the Equipment Storage Room.

Maintenance Staff A observed this finding.

Based on surveyor observation and staff interview, the facility failed to provide unobstructed corridors. The facility has a capacity of 81 and a census of 30.

Findings include:

Observations and staff interview on 03/31/14, revealed the following deficiencies:
1. A recycling bin in the exit corridor near Bone Densitometry.
2. A recycling bin in the exit corridor located near the Nurse Manager's Office.

Maintenance Staff A observed this finding.

Based on surveyor observation and staff interview, the facility failed to provide a sprinkler system in accordance with National Fire Protection Association (NFPA) 13, 1999 edition. The facility has a capacity of 81 and a census of 30.

Findings include:

Observations and staff interview on 03/31/14 revealed the following deficiencies:
1. No sprinkler head in the Electric Closet located across from Nutrition Therapy.
2. No sprinkler system coverage in Environmental Services.
3. No sprinkler system coverage in Engineering Services.

Maintenance Staff A observed these findings.

Based on surveyor observation and staff interview, the facility failed to maintain the sprinkler system in accordance with National Fire Protection Association (NFPA) 25, 1998 edition. The facility has a capacity of 81 and a census of 30.

Findings include:

Observations and staff interview on 03/31/14, revealed the following deficiencies:
1. Storage within 18-inches of the sprinkler head in the Operating Room Sterile Supply.
2. Only 5 spare sprinkler heads and no wrench in the sprinkler system box located in the Receiving Dock.

Maintenance Staff A observed this finding.

Based on surveyor observation and staff interview, the facility failed to provide doors to the corridor that resist the passage of smoke. The facility has a capacity of 81 and a census of 30.

Findings include:

Observations and staff interview on 03/31/14, revealed 4 approximately 3/8-inch holes through the door to the Emergency Room Lounge.

Maintenance Staff A observed this finding.

Based on surveyor observation and staff interview, the facility failed to provide smoke barrier doors that resist the passage of smoke. The facility has a capacity of 81 and a census of 30.

Findings include:

Observations and staff interview on 03/31/14, revealed an approximately 1/4-inch gap between the smoke doors (when in the closed position) located near Room 204.

Maintenance Staff A observed this finding.

Based on surveyor observation and staff interview, the facility failed to separate hazardous areas from other areas of the building. The facility has a capacity of 81 and a census of 30.

Findings include:

Observations and staff interview on 03/31/14, revealed the following hazardous area deficiencies:

1. Approximately 1/2-inch penetrations around 2 electrical junction boxes located on the ceiling of the Ambulance Garage.
2. An approximately 1/2-inch penetration around a conduit through the wall above the door to the Equipment Storage Room.

Maintenance Staff A observed this finding.

Based on surveyor observation and staff interview, the facility failed to provide unobstructed corridors. The facility has a capacity of 81 and a census of 30.

Findings include:

Observations and staff interview on 03/31/14, revealed the following deficiencies:
1. A recycling bin in the exit corridor near Bone Densitometry.
2. A recycling bin in the exit corridor located near the Nurse Manager's Office.

Maintenance Staff A observed this finding.

Based on surveyor observation and staff interview, the facility failed to provide a sprinkler system in accordance with National Fire Protection Association (NFPA) 13, 1999 edition. The facility has a capacity of 81 and a census of 30.

Findings include:

Observations and staff interview on 03/31/14 revealed the following deficiencies:
1. No sprinkler head in the Electric Closet located across from Nutrition Therapy.
2. No sprinkler system coverage in Environmental Services.
3. No sprinkler system coverage in Engineering Services.

Maintenance Staff A observed these findings.

Based on surveyor observation and staff interview, the facility failed to maintain the sprinkler system in accordance with National Fire Protection Association (NFPA) 25, 1998 edition. The facility has a capacity of 81 and a census of 30.

Findings include:

Observations and staff interview on 03/31/14, revealed the following deficiencies:
1. Storage within 18-inches of the sprinkler head in the Operating Room Sterile Supply.
2. Only 5 spare sprinkler heads and no wrench in the sprinkler system box located in the Receiving Dock.

Maintenance Staff A observed this finding.