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KINDRED HOSPITAL - SYCAMORE
Means of Egress - General
Tag No.: K0211
Based upon observation, means of egress corridors are not maintained free of obstructions in accordance with Code requirements. Failure to maintain the corridor free of obstructions can impede full use of the means of egress during an emergency condition.
Findings include:
On 6/26/18 at approximately 3:45pm while in the company of the RFD & OM, it was observed that the Resource Center corridor door swings out into the corridor and protrudes more than 7" into the corridor width when full open. The closer and adjacent handrail prevent the door from opening fully to comply with 7.2.1.4.3.1.
Fire Alarm System - Installation
Tag No.: K0341
Based on observation during the survey walk through the facility failed to provide protection for fire alarm components. This deficient practice could affect patients, staff and visitors during a fire event.
The finding is:
On 6/26/18 at 3:30 PM accompanied by the RFD & OM, in the first floor copy room, it was observed that the fire alarm Notification Appliance Circuit (NAC) panel located in this room was not provided with smoke detection as require by NFPA 72, 2010, 10.15.
Sprinkler System - Maintenance and Testing
Tag No.: K0353
Based on staff interview & document review during the survey walk through, documents could not be provide for the annual from the floor sprinkler system inspection. Failure to install and maintain this system could result in delayed response and fire suppression. This deficient practice could affect patients, staff and visitors during a fire event.
The finding is:
On 6/26/18 at 2:00 PM in the company of the RFD & OM the facility could not provide or verify the annual fire sprinkler inspection had been completed in compliance with NFPA 25, 2011, 5.2.1.1.
Corridors - Areas Open to Corridor
Tag No.: K0361
Based upon observation and staff interview, spaces open to the exit access corridor are not provided with protective features in accordance with Code requirements. Failure to provided protective features can compromise prompt notification of a fire/smoke event occurring within the space.
Findings include:
On 6/26/18 at approximately 3:50pm while in the company of the RFD & OM it was observed that the Time Clock alcove across from the nurse station which was no longer used was not provided with smoke detection to comply with 19.3.6.1(1)(c).