HospitalInspections.org

Based on observation during the life safety survey completed on 09/09/14, the facility did not maintain construction elements to be in reliable condition as required.

Findings:

Two 2" holes were observed in the ceiling and wall of the x-ray room.

This observation was made in the presence of the Director of Plant Operations.

Based on observation during the life safety survey completed on 09/09/14, the facility did not maintain corridor walls to resist the passage of smoke and toxic fumes as required.

Findings:

Two 1' holes were observed in the corridor wall above the lay-in ceiling in the area across from the Radiology Manager's Office.

This observation was made in the presence of the Director of Plant Operations.

Based on observation during the life safety survey completed on 09/09/14, the facility did not maintain corridor doors to be positive latching as required.

Findings:

The following corridor doors did not close to positive latch when tested: Rooms 23, 28, 30 and 34.

These observations were made in the presence of the Director of Plant Operations.

Based on observation during the life safety survey completed on 09/09/14, the facility did not maintain hazardous area doors to be self closing and positive latching as required.

Findings:

1. The water heater room door was observed to be lacking a self-closing device.

2. The boiler room door was observed to be lacking a self-closing device.

These observations were made in the presence of the Director of Plant Operations.

Based on a review of smoke detector testing documentation during the life safety survey completed on 09/09/14, the facility did not maintain required testing intervals of smoke detector testing as required per NFPA 72.

Findings:

The facility could not provide documentation that smoke detectors are being sensitivity tested at least every two years as required.

Based on observation during the life safety survey completed on 09/09/14, the facility did not maintain electrical equipment and power cords to be in compliance with NFPA 70, The National Electrical Code, as required.

Findings:

1. Two open breaker ports were observed in electrical panel H-2.

2. A microwave oven was observed to be energized via a portable power strip in the break room.

3. An electric fan was observed to be energized via a portable power strip in the Rec Therapy Room.

4. An extension cord was observed in use connected to a steam table in the Dining Room.

These observations were made in the presence of the Director of Plant Operations.