HospitalInspections.org

Based on observation and interview the facility failed to provide walls which prevented the spread of smoke to other areas of the building. This deficiency could affect 10 staff on the counseling corridor and all patients on the floor of room E-5.

Findings include:
1-On 10-31-18 at approximately 10:15 am, an unsealed penetration was observed above the door in E&T 1 in the counseling corridor.

2-On 10-31-18 at approximately 11:40 am, an unsealed penetration was observed above the door room E-5.


These observations were verified and witnessed by the maintenance director of the facility at time of observation.

Based on observation and interview the facility failed to provide a safe means of egress out of the building. This deficiency could affect all occupants of the facility.

Findings include:
1-On 10-31-18 at approximately 10:30am it was observed the back door in the chapel did not have panic egress hardware and required two motions to exit.
2-On 10-31-18 at approximately 11:35am storage was observed in the short corridor across from the nurse's station.
3-On 10-31-18 at approximately 11:35 am a linen cart was observed in the corridor by the staff lounge.


These observations were verified and witnessed by the maintenance director of the facility at time of observation

Based on observation and interview, the facility failed to provide rated assemblies in the fire walls to prevent the spread of fire. This deficient practice could affect all occupants of the facility.

Findings include:
1-On 10-31-18 at approximately 10:35am it was observed that the doors in the two-hour fire wall from the nurse's station to the patient wing in the medical services building did not close to latch.

These observations were verified and witnessed by the maintenance director of the facility at time of observation.

Based on observation and interview, the facility failed to provide corridors doors which closed to a smoke tight seal to prevent the spread of smoke between the patient rooms and the corridor. This could affect all patients in the facility.

Findings include:
1-On 10-31-18 at approximately 11:00am it was observed that the new patient room doors have a built-in access door, Wicket door, which has a large gap at the top preventing a smoke tight seal.

2-On 10-31-18 at approximately 11:30am it was observed that the clean linen closet in the small corridor across from the nurse's station did not close to latch.

These observations were verified and witnessed by the maintenance director of the facility at time of observation

Based on observation and interview, the facility failed to provide smoke barrier doors which would prevent the spread of smoke from one smoke compartment into the next smoke compartment.

Findings include:
1-On 10-31-18 at approximately 10:40am it was observed that the smoke barrier doors into the patient wing by the elevator did not close to a smoke tight seal.

2-On 10-31-18 at approximately 11:50am it was observed that the smoke barrier doors in the lower level by electrical room 8 did not close to a smoke tight seal.

These observations were verified and witnessed by the maintenance director of the facility at time of observation.

Based on observation and interview the facility failed to provide a facility which was safe from electrical hazards. This could affect all occupants of the facility.

Findings include:
1-On 10-31-18 at approximately 10:50am it was observed that appliances were plugged into a multi plug strip in the employee lounge.

2-On 10-31-18 at approximately 11:10am it was observed that appliances were plugged into a multi plug strip in nursing assessment.

These observations were verified and witnessed by the maintenance director of the facility at time of observation