HospitalInspections.org

Based on observation and interview, it was determined that the facility failed to maintain the proper construction type in one instance on one of two floors.

Findings include:

Observation on October 31, 2012, revealed the following:

a) At 14:13 p.m. on October 31, 2012, on the 1st floor in the breezeway into the cafeteria above the cafeteria doors the structural steel beam is missing the fire resistive coating.

Interview with the Facility Personnel on October 31, 2012, at 15:00 p.m. confirmed the the unprotected structural steel.

Based on observation and interview, it was determined that the facility failed to maintain the proper fire resistance rating of smoke barrier walls in one instance on one of one floors.

Findings include:

Observation on October 31, 2012, revealed the following:

a) At 10:18 a.m. on October 31, 2012, on the 1st floor above the Ambulatory Care reception desk the rated wall had penetrations.

Interview with the Facility Personnel on October 31, 2012, at 15:00 p.m. confirmed the penetrations in the rated walls existed.

Based on observation and interview, it was determined that the facility failed to maintain the proper fire resistance rating of smoke barrier walls in two instances on two of two floors.

Findings include:

Observation on October 31, 2012, revealed the following:

a) At 09:22 a.m. on October 31, 2012, on the 2nd floor outside room # 2146 the rated wall in the west wing was not completed to the deck above.
b) At 09:56 a.m. on October 31, 2012, on the 1st floor room # 1303 had penetrations in left top corner of the rated wall.

Interview with the Facility Personnel on October 31, 2012, at 15:00 p.m. confirmed the penetrations in the rated walls existed.

Based on observation and interview, it was determined that the facility failed to maintain the rated doors in two instances on one of two floors.

Findings include:

Observation on October 31, 2012, revealed the following:

a) At 08:55 a.m. on October 31, 2012, on the 2nd floor north hallway outside room 2203 the rated doors did not close and latch.
b) At 09:09 a.m. on October 31, 2012, on the 2nd floor south hallway outside room 2011 the rated doors did not close and latch.

Interview with the Facility Personnel on October 31, 2012, at 15:00 p.m. confirmed the rated doors did not close.

Based on observation and interview, it was determined the facility failed to maintain gas cylinder requirements in one instance on one of two floors.

Findings Include:

Observation on October 31, 2012, revealed the following:

a) At 2:01 p.m. on October 31, 2012, there was an unsecured carbon dioxide cylinder in the first floor cafeteria area.

Interview with the Facility Personnel on October 31, 2012, at 15:00 p.m. confirmed the cylinder was not secured.

Based on observation and interview, the facility failed to maintain electrical wiring and equipment in four instances on two of two floors.

Findings include:

Observation on October 31, 2012, revealed the following:

a) At 08:49 a.m. on October 31, 2012, in room # 2203, there was temporary lighting in the ceiling above the entrance to the room.
b) At 09:22 a.m. on October 31, 2012, in the first floor intensive care soiled utility room, there was temporary lighting in the ceiling as seen through the access panel.
c) At 09:58 a.m. on October 31, 2012, in room # 1303, there was exposed electrical wire in the ceiling above the restroom.
d) At 14:01 a.m. on October 31, 2012, outside the chapel, there was exposed electrical wiring above the ceiling.

Interview with the Facility Personnel on October 31, 2012, at 15:00 p.m. confirmed that the above wiring issues existed.

Based on observation and interview, it was determined that the facility failed to maintain the proper construction type in one instance on one of two floors.

Findings include:

Observation on October 31, 2012, revealed the following:

a) At 14:13 p.m. on October 31, 2012, on the 1st floor in the breezeway into the cafeteria above the cafeteria doors the structural steel beam is missing the fire resistive coating.

Interview with the Facility Personnel on October 31, 2012, at 15:00 p.m. confirmed the the unprotected structural steel.

Based on observation and interview, it was determined that the facility failed to maintain the proper fire resistance rating of smoke barrier walls in one instance on one of one floors.

Findings include:

Observation on October 31, 2012, revealed the following:

a) At 10:18 a.m. on October 31, 2012, on the 1st floor above the Ambulatory Care reception desk the rated wall had penetrations.

Interview with the Facility Personnel on October 31, 2012, at 15:00 p.m. confirmed the penetrations in the rated walls existed.

Based on observation and interview, it was determined that the facility failed to maintain the proper fire resistance rating of smoke barrier walls in two instances on two of two floors.

Findings include:

Observation on October 31, 2012, revealed the following:

a) At 09:22 a.m. on October 31, 2012, on the 2nd floor outside room # 2146 the rated wall in the west wing was not completed to the deck above.
b) At 09:56 a.m. on October 31, 2012, on the 1st floor room # 1303 had penetrations in left top corner of the rated wall.

Interview with the Facility Personnel on October 31, 2012, at 15:00 p.m. confirmed the penetrations in the rated walls existed.

Based on observation and interview, it was determined that the facility failed to maintain the rated doors in two instances on one of two floors.

Findings include:

Observation on October 31, 2012, revealed the following:

a) At 08:55 a.m. on October 31, 2012, on the 2nd floor north hallway outside room 2203 the rated doors did not close and latch.
b) At 09:09 a.m. on October 31, 2012, on the 2nd floor south hallway outside room 2011 the rated doors did not close and latch.

Interview with the Facility Personnel on October 31, 2012, at 15:00 p.m. confirmed the rated doors did not close.

Based on observation and interview, it was determined the facility failed to maintain gas cylinder requirements in one instance on one of two floors.

Findings Include:

Observation on October 31, 2012, revealed the following:

a) At 2:01 p.m. on October 31, 2012, there was an unsecured carbon dioxide cylinder in the first floor cafeteria area.

Interview with the Facility Personnel on October 31, 2012, at 15:00 p.m. confirmed the cylinder was not secured.

Based on observation and interview, the facility failed to maintain electrical wiring and equipment in four instances on two of two floors.

Findings include:

Observation on October 31, 2012, revealed the following:

a) At 08:49 a.m. on October 31, 2012, in room # 2203, there was temporary lighting in the ceiling above the entrance to the room.
b) At 09:22 a.m. on October 31, 2012, in the first floor intensive care soiled utility room, there was temporary lighting in the ceiling as seen through the access panel.
c) At 09:58 a.m. on October 31, 2012, in room # 1303, there was exposed electrical wire in the ceiling above the restroom.
d) At 14:01 a.m. on October 31, 2012, outside the chapel, there was exposed electrical wiring above the ceiling.

Interview with the Facility Personnel on October 31, 2012, at 15:00 p.m. confirmed that the above wiring issues existed.