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Based on observation, the facility failed to maintain their fire extinguishers as evidenced by fire extinguishers mounted above the required height. This failure affected 1 of 4 smoke compartments and had the potential to delay the removal of the fire extinguishers from their mounts causing potential delay in extinguishing a fire.

NFPA 101, 1999 Edition. Life Safety Code.
9.7.4 Manual Extinguishing Equipment.
9.7.4.1* Where required by the provisions of another section of this Code, portable fire extinguishers shall be installed, inspected, and maintained in accordance with NFPA 10, Standard for Portable Fire Extinguishers.

NFPA 10, 1998 Edition. Standard for Portable Fire Extinguishers.
1-6.10 Fire extinguishers having a gross weight not exceeding
40 lb (18.14 kg) shall be installed so that the top of the fire
extinguisher is not more than 5 ft (1.53 m) above the floor.
Fire extinguishers having a gross weight greater than 40 lb
(18.14 kg) (except wheeled types) shall be so installed that the
top of the fire extinguisher is not more than 3 1/2 ft (1.07 m)
above the floor. In no case shall the clearance between the bottom
of the fire extinguisher and the floor be less than 4 in.
(10.2 cm)

Findings:

During a tour of the facility with Maintenance Staff 1 on 3/20/15, the fire extinguishers were observed.

1. At 10:20 a.m., there was a fire extinguisher in the east corridor that was mounted on the corridor wall at approximately sixty-six inches.

2. At 11:10 a.m., there was a fire extinguisher in the B Wing corridor that was mounted on the corridor wall at approximately sixty-two inches.

Based on observation, the facility failed to maintain their electrical equipment as evidenced by broken electrical outlet. This failure affected 2 of 4 smoke compartments and had the potential to increase the risk of electric shock or fire.

NFPA 101 LIfe Safety Code, 2000 Edition.
9.1.2 Electric. Electrical wiring and equipment shall be in accordance with NFPA 70, National Electrical Code, unless existing installations, which shall be permitted to be continued in service, subject to approval by the authority having jurisdiction.

NFPA 70, National Electric Code 1999 Edition.
Article 110-12) (c) Integrity of Electrical Equipment and Connection. Internal parts of electrical equipment, including busbars, wiring terminal, insulators, and other surfaces, shall not be damaged or contaminated by foreign materials such as paint, plaster, cleaners, abrasives, or corrosive residues. There shall be no damaged parts that may adversely affect safe operation or mechanical strength of the equipment such as parts that are broken; bent; cut; or deteriorated by corrosion, chemical action, or overheating.

Findings:

During a tour of the facility with Maintenance Staff 1 on 3/20/15, the electrical equipment was observed.

1. At 10:00 a.m., there was an outlet with a broken port in Room 119.

2. At 10:45 a.m., there was an outlet with a broken ground port in the male surgical staff room.

3. At 11:08 a.m., there was an emergency outlet with a broken ground port in the corridor adjacent to the nurses station in the pateint care area.

Based on observation, the facility failed to maintain their fire extinguishers as evidenced by fire extinguishers mounted above the required height. This failure affected 1 of 4 smoke compartments and had the potential to delay the removal of the fire extinguishers from their mounts causing potential delay in extinguishing a fire.

NFPA 101, 1999 Edition. Life Safety Code.
9.7.4 Manual Extinguishing Equipment.
9.7.4.1* Where required by the provisions of another section of this Code, portable fire extinguishers shall be installed, inspected, and maintained in accordance with NFPA 10, Standard for Portable Fire Extinguishers.

NFPA 10, 1998 Edition. Standard for Portable Fire Extinguishers.
1-6.10 Fire extinguishers having a gross weight not exceeding
40 lb (18.14 kg) shall be installed so that the top of the fire
extinguisher is not more than 5 ft (1.53 m) above the floor.
Fire extinguishers having a gross weight greater than 40 lb
(18.14 kg) (except wheeled types) shall be so installed that the
top of the fire extinguisher is not more than 3 1/2 ft (1.07 m)
above the floor. In no case shall the clearance between the bottom
of the fire extinguisher and the floor be less than 4 in.
(10.2 cm)

Findings:

During a tour of the facility with Maintenance Staff 1 on 3/20/15, the fire extinguishers were observed.

1. At 10:20 a.m., there was a fire extinguisher in the east corridor that was mounted on the corridor wall at approximately sixty-six inches.

2. At 11:10 a.m., there was a fire extinguisher in the B Wing corridor that was mounted on the corridor wall at approximately sixty-two inches.

Based on observation, the facility failed to maintain their electrical equipment as evidenced by broken electrical outlet. This failure affected 2 of 4 smoke compartments and had the potential to increase the risk of electric shock or fire.

NFPA 101 LIfe Safety Code, 2000 Edition.
9.1.2 Electric. Electrical wiring and equipment shall be in accordance with NFPA 70, National Electrical Code, unless existing installations, which shall be permitted to be continued in service, subject to approval by the authority having jurisdiction.

NFPA 70, National Electric Code 1999 Edition.
Article 110-12) (c) Integrity of Electrical Equipment and Connection. Internal parts of electrical equipment, including busbars, wiring terminal, insulators, and other surfaces, shall not be damaged or contaminated by foreign materials such as paint, plaster, cleaners, abrasives, or corrosive residues. There shall be no damaged parts that may adversely affect safe operation or mechanical strength of the equipment such as parts that are broken; bent; cut; or deteriorated by corrosion, chemical action, or overheating.

Findings:

During a tour of the facility with Maintenance Staff 1 on 3/20/15, the electrical equipment was observed.

1. At 10:00 a.m., there was an outlet with a broken port in Room 119.

2. At 10:45 a.m., there was an outlet with a broken ground port in the male surgical staff room.

3. At 11:08 a.m., there was an emergency outlet with a broken ground port in the corridor adjacent to the nurses station in the pateint care area.