HospitalInspections.org

Based on observation and staff interview, the facility failed to provide a smoke barrier constructed to resist the passage of smoke. This condition had the potential for smoke to spread throughout the facility. Facility census was 2.

Findings are:
Observation during the facility tour on 10/28/13, at 10:42 am revealed that the smoke barrier wall failed to extend to roof deck on both sides of the stud wall, starting at the Lab Door through to the Chapel outside wall. The wall stopped approximately two feet before the roof deck. Penetrations failed to be sealed throughout this wall.
Record review of the fire and smoke rating floor plan confirmed that this wall was the required smoke barrier.
In an interview conducted at the time of observation, (10/28/13, at 10:42 am), Maintenance A confirmed that the smoke barrier wall failed to extend to roof deck. Maintenance A stated that the facility received bids for the work from contractors, but failed to complete the work.