HospitalInspections.org
Bringing transparency to federal inspections
JOHNSON MEMORIAL HOSPITAL AND HOME
Corridor - Doors
Tag No.: K0363
Based on observation and staff interview, the facility failed to maintain corridor doors per NFPA 101 (2012 edition), Life Safety Code, sections 19.3.6.3 and 19.3.6.3.5. This deficient finding could have an isolated impact on the residents within the facility.
Findings include:
On 02/26/2025 between 9:30 AM and 12:00 PM , it was revealed by observation that door for the Kitchenette in the patient room area did not latch when closed using the self-closing device.
An interview with the Maintenance Director verified this deficient finding at the time of discovery.
Subdivision of Building Spaces - Smoke Barrie
Tag No.: K0372
Based on observation and staff interview, the facility failed to maintain smoke barriers per NFPA 101 (2012 edition), Life Safety Code, sections 19.3.7.3, and 8.5.2.1. This deficient finding could have an isolated impact on residents within the facility.
Findings include:
On 02/26/2025 between 9:30 AM and 12:00 PM, it was revealed by observation that a ceiling tile was missing in the ceiling of the North IT Closet.
An interview with the Maintenance Director verified this deficient finding at the time of discovery.
Fundamentals - Building System Categories
Tag No.: K0901
Based on a review of available documentation and staff interview, the facility failed to provide a Risk Assessment per NFPA 99 (2012 edition), Health Care Facilities Code, section 4.2. This deficient finding could have a widespread impact on the residents within the facility.
Findings include:
On 02/26/2025 between 9:30 AM and 12:00 PM, it was revealed by a review of available documentation that the facility could not provide an NFPA 99 Risk Assessment for Chapters 5 Medical Gases, at the time of the survey.
An interview with the Maintenance Director verified this deficient finding at the time of discovery.