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LVH- COORDINATED ALLENTOWN
Means of Egress - General
Tag No.: K0211
Based on observation and interview, it was determined the facility failed to maintain means of egress in one location, affecting one of three floors.
Findings include:
1. Observation on October 22, 2019, at 10:50 a.m., revealed the second floor storage room aisleway was blocked by a large cart and precluded egress from one of two exits within the room.
Exit interview with the facilities manager on October 22, 2019, between 11:30 a.m. and 11:40 a.m., confirmed the means of egress deficiency.
Emergency Lighting
Tag No.: K0291
Based on documentation review and interview, it was determined the facility failed to maintain emergency lighting in one location, affecting one of three floors.
Findings include:
1. Observation on October 22, 2019, at 11:05 a.m., revealed the OR 5 emergency lighting fixture failed when tested.
Exit interview with the facilities manager on October 22, 2019, between 11:30 a.m. and 11:40 a.m., confirmed the emergency lighting deficiency.
Sprinkler System - Maintenance and Testing
Tag No.: K0353
Based on observation and interview, it was determined the facility failed to maintain the automatic sprinkler system in one location, affecting two of two floors.
Findings include:
1. Observation on October 23, 2019, at 10:20 a.m., revealed the exterior Fire Department Connection was blocked by shrubbery.
Exit interview with the facilities manager on October 23, 2019, between 11:20 a.m. and 11:30 a.m., confirmed the automatic sprinkler system deficiency.
Corridor - Doors
Tag No.: K0363
Based on observation and interview, it was determined the facility failed to maintain corridor openings in one location, affecting one of three floors.
Findings include:
1. Observation on October 22, 2019, at 10:30 a.m., revealed the third floor, Resident Room 107 door lacked smoke-tight integrity.
Exit interview with the facilities manager on October 22, 2019, between 11:30 a.m. and 11:40 a.m., confirmed the corridor opening deficiency.
Fire Drills
Tag No.: K0712
Based on documentation review and interview, it was determined the facility failed to conduct fire drills at varying times.
Findings include:
1. Observation on October 22, 2019, at 11:00 a.m., revealed fire drills were not conducted on a random basis, with respect to time of month.
Exit interview with the facilities manager on October 22, 2019, between 11:30 a.m. and 11:40 a.m., confirmed the fire drill deficiency.
Fire Drills
Tag No.: K0712
Based on documentation review and interview, it was determined the facility failed to conduct fire drills at varying times.
Findings include:
1. Observation on October 23, 2019, at 10:20 a.m., revealed fire drills were not conducted on a random basis with respect to time of month.
Exit interview with the facilities manager on October 23, 2019, between 11:20 a.m. and 11:30 a.m., confirmed the fire drill deficiency.
Gas Equipment - Testing and Maintenance Requi
Tag No.: K0924
Based on documentation review and interview, it was determined the facility failed to maintain the medical gas system in one instance, affecting one of three floors.
Findings include:
1. Observation on October 22, 2019, at 11:10 a.m., revealed one vacuum hose lacked flow when tested on 10/18/2019.
Exit interview with the facilities manager on October 22, 2019, between 11:30 a.m. and 11:40 a.m., confirmed the medical gas system deficiency.