HospitalInspections.org

Based upon observations and staff interviews on 12/14/2016 between approximately 0800 and 1115 hours the facility has failed to maintain fire resistive construction of the building capable of resisting the passage of smoke and fire into other compartments. This could allow the toxic product of combustion to move out of a room and into the exit access corridor and the smoke compartment which would endanger the residents, staff and/or visitors within the facility.

The findings include, but are not limited to:

1. On Two west by the soiled linen room there is a ceiling tile in the corridor with a large hole in it.

The above was discussed and acknowledged by the Facilities director.

Based upon observations and staff interviews on 12/14/2016 between approximately 0800 and 1115 hours the facility has failed to maintain records of testing for the emergency battery backup lighting. This could result in the failure of the battery powered backup lighting in the event of a power outage and render the means of egress dark. This could result in tripping and fall injuries to residents, staff and/or visitors.

The findings include, but are not limited to:

1. The emergency egress light in the Fire alarm panel room failed to function on battery back-up power.

The above was discussed and acknowledged by the facilities director.

Based upon observations and staff interviews on 12/14/2016 between approximately 0800 and 1115 hours the facility has failed to maintain vertical openings between floors with a construction having a fire resistive rating of at least one hour. This could result in the passage of toxic products of combustion from one floor to another which would endanger the residents, staff and/or visitors within the facility.

The findings include, but are not limited to:

1. The door to the stairwell by room #361 has been damaged and does not seal tight to the frame.

The above was discussed and acknowledged by the facilities director.