HospitalInspections.org

Based on the Verification visit of the facility on May 12, 2014 with the Director of Facilities and the Maintenance Supervisor; this surveyor observed that the hospital failed to be constructed, arranged, or maintained the building to ensure the safety of the patients. The cumulative effects of these environmental problems resulted in the hospital's inability to ensure a safe environment for the patients. The Existing Health Care Occupancy chapter of the Life Safety Code (2000 Edition) [NFPA 101] was used for this survey.

42 CFR 485.623: Condition of Participation: Physical Plant is NOT MET.

K-tags continued were as follows:
K-25: Smoke compartments built as one-hour
K-29: Hazardous areas built as one-hour
K-56: Sprinkler system installed per NFPA 13

These deficiencies were confirmed at the time of discovery by a concurrent observation, record review and interview with staff B and staff G. Please refer to the individual K-tags for the full description of each deficient practice.

Based on the Verification visit of the facility from May 12, 2014 with the Director of Facilities and the Maintenance Supervisor; this surveyor observed that the hospital failed to be constructed, arranged, or maintained the building to ensure the safety of the patients. The cumulative effects of these environmental problems resulted in the hospital's inability to ensure a safe environment for the patients. The Existing Health Care Occupancy chapter of the Life Safety Code (2000 Edition) [NFPA 101] was used for this survey.

42 CFR 485.623 (d)(1) Standard: Life Safety from Fire is NOT MET

K-tags continued were as follows:
K-25: Smoke compartments built as one-hour
K-29: Hazardous areas built as one-hour
K-56: Sprinkler system installed per NFPA 13

These deficiencies were confirmed at the time of discovery by a concurrent observation, record review and interview with staff B and staff G. Please refer to the individual K-tags for the full description of each deficient practice.