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Tag No.: K0051
Based on observation and testing, the facility failed to provide
all the approved components, devices or equipment installed in according to NFPA 72.
Findings include:
While inspecting fire alarm system on 05/25/10 through 5/26/10 the surveyor observed deficient items in the following fire alarm components:
1) 5th Floor Tower had no strobe located at nursing station.
2) 4th Floor Tower had no strobe located at nursing station.
3) 1st Floor Tower had 3 strobes not operational around nursing station.
4) 5th Floor North needs 3 strobes installed
5) 4th Floor North needs 2 strobes installed
6) 3rd Floor North needs 4 strobes installed
7) 2nd Floor North needs 5 strobes installed
8) 1st Floor North needs 3 strobes installed
9) Nuclear Medicine needs 2 strobes installed
10) Radiology strobes not operational
11) Basement needs strobes installed around Respiratory Therapy, Central Supply, and in hallways.
A total of 9 strobes needs to be installed.
These deficient practices have the potential of effecting the entire facility.