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UNITY PSYCHIATRIC CARE-MARTIN
Maintenance, Inspection and Testing - Doors
Tag No.: K0761
Based on records review, the facility failed to inspect fire doors annually. The deficient practice affected two (2) of two (2) smoke compartments, with the potential to affect all residents, staff, and visitors. The facility has the capacity for 16 beds with a census of 12 on the day of the survey.
The findings included:
Record review on 9/23/24 at 1:30 PM, revealed the facility could not provide documentation of an annual inspection and testing of fire doors.
National Fire Protection Association (NFPA) 101, 19.7.6 (2012 Edition)
NFPA 101, 4.6.12.1 (2012 Edition)
NFPA 101, 8.3.3.1 (2012 Ed)
NFPA 80, 5.2.1 (2010 Ed)
This deficiency was verified by the maintenance supervisor and acknowledged by the administrator during the exit conference on 9/23/24.
Electrical Systems - Maintenance and Testing
Tag No.: K0914
Based on records review, the facility failed to maintain electrical systems. The deficient practice affected two (2) of two (2) smoke compartments, with the potential to affect all residents, staff, and visitors. The facility has the capacity for 16 beds with a census of 12 on the day of the survey.
The findings included:
Record review on 9/23/24 at 2:04 PM, revealed the facility could not provide the annual tension test on all resident's rooms electrical receptacles.
National Fire Protection Association (NFPA) 99, 6.3.4.1.3 (2012 Ed.)
The administrator acknowledged the deficiency during the exit conference on 9/23/24.