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9200 W WISCONSIN AVE

MILWAUKEE, WI 53226

PHYSICAL ENVIRONMENT

Tag No.: A0700

Based on observation, staff interview and review of records on 12/15/20, the Froedtert Memorial Lutheran Hospital failed to construct, install, and maintain the building systems to ensure life safety to patients.

42 CFR 482.41 Condition of Participation: Physical Environment is NOT MET

The facility was found to contain the following deficiencies.

K361 Corridors - Areas Open to Corridor
K911 Electrical Systems - Other

The cumulative effect of these deficiencies resulted in the Hospital's inability to ensure a safe environment for the patients.

LIFE SAFETY FROM FIRE

Tag No.: A0709

Based on observation, staff interview and review of records on 12/15/20, the Froedtert Memorial Lutheran Hospital failed to construct, install, and maintain the building systems to ensure life safety to patients.

42 CFR 482.41(b) Standard: Life Safety from Fire was NOT MET

The facility was found to contain the following deficiencies.

K361 Corridors - Areas Open to Corridor
K911 Electrical Systems - Other

The cumulative effect of these deficiencies resulted in the Hospital's inability to ensure a safe environment for patients.