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Based on observation and review of record, the facility failed to provide emergency lighting of at least 1½-hour duration in the south generator room on the out patient corridor. The emergency lighting unit not working would affect the patients in the out patient care area, surgery area and staff. The facility has 23 certified beds and a census of 7.
Findings are:

1. Observation on 12/16/14 at 10:40 hours, revealed that the battery emergency lighting unit was not working properly in the south generator room. Review of the records showed that the emergency lighting unit was checked and did not work on 11-02-14 and on 12-14-14. Maintenance staff did acknowledged the unit was not working at the time of the inspection. In case of a power failure to the facility or that wing and the generator did not function properly the room would be dark without the proper task illumination to repair it. NFPA 99 sec 3-4.2.2.2

NFPA 99 3-4.2.2.2 Emergency System.
(a) General. Those functions of patient care depending on lighting or appliances that are permitted to be connected to the emergency system are divided into two mandatory branches, described in 3-4.2.2.2(b) and (c).
+All ac-powered support and accessory equipment necessary to the operation of the EPS shall be supplied from the load side of the automatic transfer switch (es), or the output terminals of the EPS, ahead of the main EPS overcurrent protection, as necessary, to ensure continuity of the EPSS operation and performance. (NFPA 110: 5-12.5)
(b) Life Safety Branch. The life safety branch of the emergency system shall supply power for the following lighting, receptacles, and equipment:
1. Illumination of means of egress as required in NFPA 101, Life Safety Code
2. Exit signs and exit direction signs required in NFPA 101, Life Safety Code
3. Alarm and alerting systems including the following:
a. Fire alarms
b. Alarms required for systems used for the piping of nonflammable medical gases as specified in Chapter 4, ' ' Gas and Vacuum Systems ' '
4.* Hospital communication systems, where used for issuing instruction during emergency conditions
5. Task illumination, battery charger for emergency battery powered lighting unit(s), and selected receptacles at the generator set location
6. Elevator cab lighting, control, communication, and signal systems
7. Automatically operated doors used for building egress.
No function other than those listed above in items 1 through 7 shall be connected to the life safety branch.
Exception: The auxiliary functions of fire alarm combination systems complying with NFPA 72, National Fire Alarm Code, shall be permitted to be connected to the life safety branch.
(c)* Critical Branch. The critical branch of the emergency system shall supply power for task illumination, fixed equipment, selected receptacles, and selected power circuits serving the following areas and functions related to patient care. It shall be permitted to subdivide the critical branch into two or more branches.
1. Critical care areas that utilize anesthetizing gases, task illumination, selected receptacles, and fixed equipment
2. The isolated power systems in special environments
3. Patient care areas-task illumination and selected receptacles in the following:
a. Infant nurseries
b. Medication preparation areas
c. Pharmacy dispensing areas following a loss of the normal source. d. Selected acute nursing areas
e. Psychiatric bed areas (omit receptacles)
f. Ward treatment rooms
g. Nurses ' stations (unless adequately lighted by corridor luminaires)
4. Additional specialized patient care task illumination and receptacles, where needed
5. Nurse call systems
6. Blood, bone, and tissue banks
(7.* Telephone equipment rooms and closets
8. Task illumination, selected receptacles, and selected power circuits for the following:
a. General care beds (at least one duplex receptacle per patient bedroom)
b. Angiographic labs
c. Cardiac catheterization labs
d. Coronary care units
e. Hemodialysis rooms or areas
f. Emergency room treatment areas (selected)
g. Human physiology labs
h. Intensive care units
i. Postoperative recovery rooms (selected)
9. Additional task illumination, receptacles, and selected power circuits needed for effective facility operation. Single-phase fractional horsepower motors shall be permitted to be connected to the critical branch.

Based on observation and staff interview, the facility is not storing medical compressed air tanks in accordance with NFPA 99, by ensuring that tanks were adequately secured to prevent them from accidental damage or dislocation. This deficient practice occurred in one of seven smoke compartments and affects all occupants of the surgical corridor, occupied by patients and staff. This facility has a capacity of 23 and a census of 7 patients.
Findings are:

1. During the survey on 12/16/14, at approximately 1110 hours, it was observed that a cylinder of compressed medical air was sitting in the corridor of the surgical wing and was not properly secured from accidental damage or dislocation. Through staff interview it was determined that the tank was place there for Respiratory Therapy to pick up and had been sitting there for two days unsecured.

Based on observation and review of record, the facility failed to provide emergency lighting of at least 1½-hour duration in the south generator room on the out patient corridor. The emergency lighting unit not working would affect the patients in the out patient care area, surgery area and staff. The facility has 23 certified beds and a census of 7.
Findings are:

1. Observation on 12/16/14 at 10:40 hours, revealed that the battery emergency lighting unit was not working properly in the south generator room. Review of the records showed that the emergency lighting unit was checked and did not work on 11-02-14 and on 12-14-14. Maintenance staff did acknowledged the unit was not working at the time of the inspection. In case of a power failure to the facility or that wing and the generator did not function properly the room would be dark without the proper task illumination to repair it. NFPA 99 sec 3-4.2.2.2

NFPA 99 3-4.2.2.2 Emergency System.
(a) General. Those functions of patient care depending on lighting or appliances that are permitted to be connected to the emergency system are divided into two mandatory branches, described in 3-4.2.2.2(b) and (c).
+All ac-powered support and accessory equipment necessary to the operation of the EPS shall be supplied from the load side of the automatic transfer switch (es), or the output terminals of the EPS, ahead of the main EPS overcurrent protection, as necessary, to ensure continuity of the EPSS operation and performance. (NFPA 110: 5-12.5)
(b) Life Safety Branch. The life safety branch of the emergency system shall supply power for the following lighting, receptacles, and equipment:
1. Illumination of means of egress as required in NFPA 101, Life Safety Code
2. Exit signs and exit direction signs required in NFPA 101, Life Safety Code
3. Alarm and alerting systems including the following:
a. Fire alarms
b. Alarms required for systems used for the piping of nonflammable medical gases as specified in Chapter 4, ' ' Gas and Vacuum Systems ' '
4.* Hospital communication systems, where used for issuing instruction during emergency conditions
5. Task illumination, battery charger for emergency battery powered lighting unit(s), and selected receptacles at the generator set location
6. Elevator cab lighting, control, communication, and signal systems
7. Automatically operated doors used for building egress.
No function other than those listed above in items 1 through 7 shall be connected to the life safety branch.
Exception: The auxiliary functions of fire alarm combination systems complying with NFPA 72, National Fire Alarm Code, shall be permitted to be connected to the life safety branch.
(c)* Critical Branch. The critical branch of the emergency system shall supply power for task illumination, fixed equipment, selected receptacles, and selected power circuits serving the following areas and functions related to patient care. It shall be permitted to subdivide the critical branch into two or more branches.
1. Critical care areas that utilize anesthetizing gases, task illumination, selected receptacles, and fixed equipment
2. The isolated power systems in special environments
3. Patient care areas-task illumination and selected receptacles in the following:
a. Infant nurseries
b. Medication preparation areas
c. Pharmacy dispensing areas following a loss of the normal source. d. Selected acute nursing areas
e. Psychiatric bed areas (omit receptacles)
f. Ward treatment rooms
g. Nurses ' stations (unless adequately lighted by corridor luminaires)
4. Additional specialized patient care task illumination and receptacles, where needed
5. Nurse call systems
6. Blood, bone, and tissue banks
(7.* Telephone equipment rooms and closets
8. Task illumination, selected receptacles, and selected power circuits for the following:
a. General care beds (at least one duplex receptacle per patient bedroom)
b. Angiographic labs
c. Cardiac catheterization labs
d. Coronary care units
e. Hemodialysis rooms or areas
f. Emergency room treatment areas (selected)
g. Human physiology labs
h. Intensive care units
i. Postoperative recovery rooms (selected)
9. Additional task illumination, receptacles, and selected power circuits needed for effective facility operation. Single-phase fractional horsepower motors shall be permitted to be connected to the critical branch.

Based on observation and staff interview, the facility is not storing medical compressed air tanks in accordance with NFPA 99, by ensuring that tanks were adequately secured to prevent them from accidental damage or dislocation. This deficient practice occurred in one of seven smoke compartments and affects all occupants of the surgical corridor, occupied by patients and staff. This facility has a capacity of 23 and a census of 7 patients.
Findings are:

1. During the survey on 12/16/14, at approximately 1110 hours, it was observed that a cylinder of compressed medical air was sitting in the corridor of the surgical wing and was not properly secured from accidental damage or dislocation. Through staff interview it was determined that the tank was place there for Respiratory Therapy to pick up and had been sitting there for two days unsecured.