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PENDER MEMORIAL HOSPITAL
No Description Available
Tag No.: K0012
A. Based on observation on 01/05/2010 there were wood fences under canopies in the area around the generator and the 02 storage tank. These fences must be rendered flame retardant and maintained flame retardant
42 CFR 483.70 (a)
No Description Available
Tag No.: K0018
42 CFR 483.70(a)
Based on observation on 01/05/2010 the following corridor doors were non-compliant, specific findings include:
A. There were deadbolts on the following corridor doors that require a multiple range of motion to exit the room: Pharmacy (room 240), shower room next to room 232, rooms 143, 101 to 105, 107, 109, clean utility (room 149G), nourishment room (149F), lab (62F), clean utility (151), nourishment room (150), surgical services manager's office.
B. The positive latching device on the nurses lounge across from room 117 did not function properly.
No Description Available
Tag No.: K0038
42 CFR 483.70(a)
By observation on 1/5/2010 the following exit access were observed as noncompliant: specific findings include exit access was not a solid path (easily maintained in inclement weather) to a public way (exit from PCU staircase door 146 also joined with physical therapy exit)
No Description Available
Tag No.: K0045
42 CFR 483.70(a)
By observation on 1/5/2010 at approximately noon the following exit discharge illumination was observed as noncompliant: specific findings include only one bulb fixtures at the east exit near the equipment room.
No Description Available
Tag No.: K0050
By observation on 1/5/02010 review of fire drills records determined that the third shift drills were held between 5:00 am and 6:30 am only. Fire drills are to be held at unexpected times.
No Description Available
Tag No.: K0056
A. Based on observation on 01/05/2010 there was storage blocking the sprinkler heads in the Med. Supply Room and the closet in the conference room on the second floor.
42 CFR 483.70 (a)
No Description Available
Tag No.: K0072
A. Based on observation on 01/05/2010 there were wall mounted charting cabinets on the 100 hall that did not retract.
B. Based on observation on 01/05/2010 there was a temporary dust wall in the corridor on the second floor. This temp. wall had reduced the width of the egress corridor from eight (8) feet to four feet six inches(4 feet-6 inches). This wall is approx. thirty (30) feet long.
42 CFR 483.70 (a)
No Description Available
Tag No.: K0076
A. Based on observation on 01/05/2010 there were unsecured 02 cylinders in the 02 storage room near the ambulance entrance.
42 CFR 483.70 (a)
No Description Available
Tag No.: K0077
A. Based on observation on 01/05/2010 the 02 alarm on the second floor could not be tested (shut off valve could not be located).
42 CFR 483.70 (a)