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Based on the observation, the facility failed to provide half hour rating in the smoke barrier wall in accordance with NFPA 101 sections 19.3.7.3 and 8.5.6.2. This standard deficiency affected two (2) of four (4) smoke compartments in the facility on the day of Survey.

Findings Include:

On 9/17/24 at 9:30 AM, observation revealed unsealed holes around data cables and electrical piping at the following smoke barrier wall of the facility:



East Wing Smoke Barrier Wall near resident room #210

Senior Care Unit Smoke Barrier Wall



These Smoke Barrier walls were incapable of resisting the passage of smoke throughout the facility.

Based on observation and interview, the facility failed to provide a remote manual stop station for generator in accordance with NFPA 110 section 5.6.5.6. This deficiency affected entire facility on the day of survey.

Findings Include:

On 9/17/24 at 10:00 AM, observation during the building inspection tour on 9/17/24 revealed facility did not have a remote manual stop for the generator.

The finding was acknowledged by the Administrator and Maintenance Supervisor verified this observation during the exit interview on 9/17/24.

NFPA 110 section 5.6.5.6: All installations shall have a remote manual stop station of a type to prevent inadvertent or unintentional operation located outside the room housing the prime mover, where so installed, or elsewhere on the premises where the prime mover is located outside the building.