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BLUE MOUNTAIN HOSPITAL
No Description Available
Tag No.: K0011
Based upon observations made in the presence of the plant manager on 6/9/10, it was determined that the facility did not provide a two-hour fire resistance rating at the horizontal exit connecting the hospital lobby to the clinic area.
Findings include:
The 2 hour fire wall between the hospital lobby and the clinic area had a 4 ' ' hole in it above the lay in ceiling that would not resist the passage of fire or smoke.
No Description Available
Tag No.: K0029
Based upon observations made in the presence of the plant manager on 6/8/10, it was determined that the facility did not maintain hazardous areas to be fire and smoke separated from other sections of the facility.
Findings include:
1. The fire rated door to the ER Soiled Linen room was obstructed form self closing by a modified closing device.
2. The Labor & Delivery Soiled Linen room fire rated door lacks a self closing device.
No Description Available
Tag No.: K0062
Based upon observations made in the presence of the plant manager on 6/8/10, it was determined that the facility did not maintain the fire sprinkler system in accordance with NFPA 13 and CMS.
Findings include:
1. The fire sprinkler system lacks a current certification by a company that is licensed and certified in the state of Utah.
No Description Available
Tag No.: K0074
Based upon observations made in the presence of the plant manager on 6/8/10, it was determined that the facility did not maintain flame retardant treatment on combustible draperies, curtains and other loosely hanging fabrics in accordance with NFPA 101 10.3.1.
Findings include:
The three LDR rooms have fabric window valances that do not have labels stating the fabric is flame resistant.
No Description Available
Tag No.: K0076
Based upon observations made in the presence of the plant manager on 6/8/10, it was determined that the facility did not maintain medical gas storage in accordance with NFPA 99.
Findings include:
The Oxygen Manifold Supply room contained 9 unsecured " E " tanks.
No Description Available
Tag No.: K0144
Based upon observations made in the presence of the plant manager on 6/8/10, it was determined that the facility did not maintain, inspect and exercise the facilities emergency generator set in accordance with NFPA 99.
Findings include:
The facility emergency generator set does not annunciate to a constantly staffed location.