HospitalInspections.org

REMAINS CITED

Based on facility observation and staff interview and verification, the facility failed to ensure that oxygen storage was in accordance with NFPA 99, Chapter 4, with regards to protection and storage of oxygen cylinders from excessive heat or freezing temperatures.


Findings included:

On 11/15/12 at 10:50 A.M. tour of the facility was conducted with Staff A, B, and C. Observation of the facility revealed that oxygen for patients was provided through a manifold system and piped into the facility.

Observation of the oxygen storage area revealed the oxygen delivery system was located outside the facility in an enclosed courtyard. The manifold and oxygen cylinders were located immediately outside the door of the facility and were exposed to the weather. A piece of well-weathered plywood was placed over the top of the H size tanks to provided some protection. Two small carts capable of each holding 12 E size cylinders of oxygen were sitting next to the larger tanks of oxygen. Each smaller cart contained less than six E size oxygen tanks.

Storage of full and empty H size tanks of oxygen were noted to be chained to the fence which surrounded the courtyard area. This storage area was located behind the diesel emergency generator.

Interview of Staff A verified the facility was in the process of obtaining building permits from the city in order to construct an indoor location to store the oxygen cylinders. Staff A further verified the observation was the same as noted during the life safety code survey completed 10/04/12.

According to Staff A and B, a room inside the facility was to be renovated to meet the requirments for oxygen storage. Observation of the room revealed the room was empty except for cupboards that were to be removed. Staff A stated the permits from the city to begin construction were expected within the next week. Staff A stated the expected completion for the oxygen storage room would be between December 15 and 20, 2012.