HospitalInspections.org

Based on observation and staff interview, it was determined that interior finish for rooms failed to be maintained. Findings include:

1. Observation at 11:50 AM on 09/06/11 revealed ceiling tiles were either damaged or missing in Room 5068.

2. Observation at 1:41 PM on 09/06/11 revealed ceiling tiles were either damaged or missing in Room 4045B.

These findings were confirmed by Facilities Manager/Safety Coordinator A at the time of discovery.

3. Observation at 09:45 AM on 09/07/11 revealed ceiling tiles were either damaged or missing in the following areas:
- Operating Room: Room 268.1, Room 2208.
- Emergency Room: X-ray Room.

4. Observation at 2:15 PM on 09/07/11 revealed ceiling tiles were either damaged or missing in the X-ray Department Reading Room.

These findings were confirmed by Director of Facilities A at the time of discovery.

Based on observation and staff interview, it was determined that interior finish for rooms failed to be maintained. Findings include:

Observation at 12:04 PM on 09/06/11 revealed a metal box used for isolation materials, was hanging on the door to Room 5086 preventing the door from closing properly.

This finding was confirmed by Facilities Manager/Safety Coordinator A at the time of discovery.

Based on observation and staff interview, it was determined that the smoke barrier was unable to provide a one half hour fire resistance rating. Findings include:

Observation at 2:15 PM on 09/07/11 revealed penetrations through smoke compartments in the X-Ray Department Room 1233 and MRI Support Room.

These findings were confirmed by Director of Facilities A at the time of discovery.

Based on observation and staff interview, it was determined that one door lacked a self-closing mechanism. Findings include:

Beebe Outpatient Surgery Center:

Observation at 1:00 PM on 09/08/11 revealed that Room 54 does not have a self-closing or automatic-closing device installed.

This finding was confirmed by Director of Facilities A at the time of discovery.

Based on observation and staff interview, it was determined there was no sprinkler coverage in one area. Findings include:

Observation at 2:15 PM on 09/07/11 revealed no sprinkler coverage in the MRI back hallway.

This finding was confirmed by Director of Facilities A at the time of discovery.

Based on observation and staff interview, it was determined that the automatic sprinkler system was not maintained in compliance with NFPA 13. Findings include:

1. Observation at 11:40 AM on 09/06/11 revealed sprinkler escutcheons missing, displaced, or not covering cutout in room 5045B.

2. Observation at 1:44 PM on 09/06/11 revealed the cabinet directly below the sprinkler was within 18 inches of the sprinkler in room 4043.

These findings were confirmed by Facilities Manager/Safety Coordinator A at the time of discovery.

3. Observation at 09:45 AM on 09/07/11 revealed sprinkler escutcheons were missing, displaced, or not covering cutout in room 2255.

4. Storage directly below the sprinkler was within 18 inches of the sprinkler in room 1176.

5. Observation at 2:15 PM on 09/07/11 revealed sprinkler escutcheons missing, displaced, or not covering cutout in the X-Ray Department Accudose Room.

These findings were confirmed by Director of Facilities A at the time of discovery.

Based on observation and staff interview, it was determined that interior finish for rooms failed to be maintained. Findings include:

1. Observation at 11:50 AM on 09/06/11 revealed ceiling tiles were either damaged or missing in Room 5068.

2. Observation at 1:41 PM on 09/06/11 revealed ceiling tiles were either damaged or missing in Room 4045B.

These findings were confirmed by Facilities Manager/Safety Coordinator A at the time of discovery.

3. Observation at 09:45 AM on 09/07/11 revealed ceiling tiles were either damaged or missing in the following areas:
- Operating Room: Room 268.1, Room 2208.
- Emergency Room: X-ray Room.

4. Observation at 2:15 PM on 09/07/11 revealed ceiling tiles were either damaged or missing in the X-ray Department Reading Room.

These findings were confirmed by Director of Facilities A at the time of discovery.

Based on observation and staff interview, it was determined that interior finish for rooms failed to be maintained. Findings include:

Observation at 12:04 PM on 09/06/11 revealed a metal box used for isolation materials, was hanging on the door to Room 5086 preventing the door from closing properly.

This finding was confirmed by Facilities Manager/Safety Coordinator A at the time of discovery.

Based on observation and staff interview, it was determined that the smoke barrier was unable to provide a one half hour fire resistance rating. Findings include:

Observation at 2:15 PM on 09/07/11 revealed penetrations through smoke compartments in the X-Ray Department Room 1233 and MRI Support Room.

These findings were confirmed by Director of Facilities A at the time of discovery.

Based on observation and staff interview, it was determined that one door lacked a self-closing mechanism. Findings include:

Beebe Outpatient Surgery Center:

Observation at 1:00 PM on 09/08/11 revealed that Room 54 does not have a self-closing or automatic-closing device installed.

This finding was confirmed by Director of Facilities A at the time of discovery.

Based on observation and staff interview, it was determined there was no sprinkler coverage in one area. Findings include:

Observation at 2:15 PM on 09/07/11 revealed no sprinkler coverage in the MRI back hallway.

This finding was confirmed by Director of Facilities A at the time of discovery.

Based on observation and staff interview, it was determined that the automatic sprinkler system was not maintained in compliance with NFPA 13. Findings include:

1. Observation at 11:40 AM on 09/06/11 revealed sprinkler escutcheons missing, displaced, or not covering cutout in room 5045B.

2. Observation at 1:44 PM on 09/06/11 revealed the cabinet directly below the sprinkler was within 18 inches of the sprinkler in room 4043.

These findings were confirmed by Facilities Manager/Safety Coordinator A at the time of discovery.

3. Observation at 09:45 AM on 09/07/11 revealed sprinkler escutcheons were missing, displaced, or not covering cutout in room 2255.

4. Storage directly below the sprinkler was within 18 inches of the sprinkler in room 1176.

5. Observation at 2:15 PM on 09/07/11 revealed sprinkler escutcheons missing, displaced, or not covering cutout in the X-Ray Department Accudose Room.

These findings were confirmed by Director of Facilities A at the time of discovery.