HospitalInspections.org

Based on observation and interview, the facility does not maintain fire separations in the corridors.

Findings include:

Observation during tour on 7/22/10 at 10:00 AM revealed several penetrations in the corridor walls of the Medical Care Unit. Penetrations were found over the fire doors and between rooms #228 and 230.

These findings were verified with Staff #25 on 7/22/10.

Based on observation and interview, the facility does not provide fire safety to patients and staff on the hospital campus as related to unobstructed egress.

Findings include:

Observation during facility tour on 7/19/10 between 12:45 PM and 3:30 PM revealed storage of materials in exit stairwells. The penthouse stairwell landing was obstructed with boxes of communication system equipment, cafeteria stools, and a drafting desk with drawing storage. The penthouse mechanical room was cluttered with stored light fixtures and miscellaneous combustible materials. The Physical Therapy exit stairwell contained a closet that was constructed under the stairwell. (This closet is currently being removed.)

These findings were verified with Staff #13 on 7/29/10.

Based on observation and interview, the facility does not maintain the Fire Suppression Sprinkler System.

Findings include:

Observation during facility tour on 7/19/10 at 2:00 PM revealed no backflow device between the Fire Suppression Sprinkler System and the potable water supply. Continued observation at 3:00 PM revealed that two sprinkler heads in the purchasing department storerooms #1 and 4 were obstructed with suspended ventilation system ductwork.

These findings were verified with Staff #13 on 7/19/10.

Based on observation and interview, the facility does not provide fire safety for staff and for patients' medical records on the hospital campus.

Findings include:

Observation during facility tour on 7/20/10 at 12:00 PM revealed approximately 200 boxes of medical records stored in various areas of the facility's maintenance garage. This building, which is not protected with a fire suppression system, houses lawn mowers, a fork lift, hospital bed mattresses and other combustible materials. Two six-gallon gasoline cans and two 20-pound propane cylinders are stored in the building on the floor. Three 30-pound propane cylinders are stored outside the building on a cart in front of the overhead door.

These findings were verified with Staff #25 on 7/20/10.

THIS IS A REPEAT DEFICIENCY FROM THE SURVEYS COMPLETED 4/23/05 AND 4/11/08.

Based on observation and interview, the facility does not maintain fire separations in the corridors.

Findings include:

Observation during tour on 7/22/10 at 10:00 AM revealed several penetrations in the corridor walls of the Medical Care Unit. Penetrations were found over the fire doors and between rooms #228 and 230.

These findings were verified with Staff #25 on 7/22/10.

Based on observation and interview, the facility does not provide fire safety to patients and staff on the hospital campus as related to unobstructed egress.

Findings include:

Observation during facility tour on 7/19/10 between 12:45 PM and 3:30 PM revealed storage of materials in exit stairwells. The penthouse stairwell landing was obstructed with boxes of communication system equipment, cafeteria stools, and a drafting desk with drawing storage. The penthouse mechanical room was cluttered with stored light fixtures and miscellaneous combustible materials. The Physical Therapy exit stairwell contained a closet that was constructed under the stairwell. (This closet is currently being removed.)

These findings were verified with Staff #13 on 7/29/10.

Based on observation and interview, the facility does not maintain the Fire Suppression Sprinkler System.

Findings include:

Observation during facility tour on 7/19/10 at 2:00 PM revealed no backflow device between the Fire Suppression Sprinkler System and the potable water supply. Continued observation at 3:00 PM revealed that two sprinkler heads in the purchasing department storerooms #1 and 4 were obstructed with suspended ventilation system ductwork.

These findings were verified with Staff #13 on 7/19/10.

Based on observation and interview, the facility does not provide fire safety for staff and for patients' medical records on the hospital campus.

Findings include:

Observation during facility tour on 7/20/10 at 12:00 PM revealed approximately 200 boxes of medical records stored in various areas of the facility's maintenance garage. This building, which is not protected with a fire suppression system, houses lawn mowers, a fork lift, hospital bed mattresses and other combustible materials. Two six-gallon gasoline cans and two 20-pound propane cylinders are stored in the building on the floor. Three 30-pound propane cylinders are stored outside the building on a cart in front of the overhead door.

These findings were verified with Staff #25 on 7/20/10.

THIS IS A REPEAT DEFICIENCY FROM THE SURVEYS COMPLETED 4/23/05 AND 4/11/08.