HospitalInspections.org
Bringing transparency to federal inspections
KALKASKA MEMORIAL HEALTH CENTER
Means of Egress - General
Tag No.: K0211
Based upon observation and interview, the facility failed to ensure that aisles, passageways, corridors, exit discharges, exit locations, and accesses are in accordance with Chapter 7 and continuously maintained free of all obstructions to full use in case of an emergency as required by 19.2.1 and 7.1.10.1. This deficient practice could affect all patients within the MRI mobile dock.
Findings Include:
On 05/02/17 at approximately 11:43 a.m., the MRI mobile dock exit was observed to be obstructed from access, by the placement of a housekeeping trash cart in front of the door. This deficiency was confirmed with Staff #1 at the time of discovery.
Subdivision of Building Spaces - Smoke Barrie
Tag No.: K0372
Based upon observation and interview, the facility failed to ensure that smoke barriers were constructed to a minimum 1/2-hour fire resistance rating in accordance with 8.5 as required by 19.3.7.3 and 8.6.7.1(1). This deficient practice could affect all occupants of the Cardiac Rehabilitation and Physical Therapy departments in the event of fire where smoke is allowed to transmit between these adjoining smoke compartments.
Findings Include:
On 05/02/17 at approximately 12:28 p.m. an unprotected conduit penetration of the smoke barrier wall between cardiac rehab and physical therapy, above the smoke barrier doors, was observed. This deficiency was confirmed with Staff #1 at the time of discovery.
Utilities - Gas and Electric
Tag No.: K0511
Based upon observation and interview, the facility failed to ensure that equipment using gas or gas-related piping complies with NFPA 54 and electrical wiring and equipment complies with NFPA 70 as required by 19.5.1.1, 9.1.1, and 9.1.2. This deficient practice could affect patients and staff occupying the radiology/emergency department smoke compartment in the event of an electrical fault caused by an improper electrical system installation.
Findings Include:
On 05/02/17 at approximately 12:40 p.m., improperly abandoned electrical cables were observed to be pulled out of an electrical junction box and coiled and placed upon the suspended acoustical ceiling. Interview of Staff #2 revealed that this was the circuit that previously served a previously installed CT unit. This deficiency was confirmed with Staff #1 and 2 at the time of discovery.