HospitalInspections.org

Based on observation and interview, the facility failed to assure fire rated construction is maintained.
The findings include:
Observation and interview with the Maintenance Director for Mercy Medical Center North, on June 2, 2011 at 10:00 a.m. confirmed the 5th floor IDF room (5111) failed to have spray on fireproofing on a three-foot section of I-beam in the ceiling

Based on observation and interview, the facility failed to assure corridor fire doors closed to a positive latch..
The findings include:
Observation and interview with the Maintenance Director, on May 31, 2011 and June 1, 2011 . confirmed the following corridor fire doors would not close to a positive latch:
1) Fire door by "Regional Risk Officer"
2) 2nd floor Fire door by red elevators.
3) 1st floor Fire door by A-wing red elevators
4) Cafeteria entrance fire doors had smoke door on one side with a deadbolt latch preventing door from opening after closing.
5) LL2 biohazard waste room door
6) LL3-to-womens Pavilion fire door had lower hardware latch removed.
7) Stairwell fire door by room T202 does not latch

Based on observation and interview, the facility failed to assure the building's fire rated construction is maintained.
The findings include:
Observation and interview with the Maintenance Director, on June 1 and 2, 2011 between 8:30 a.m. and 3:00 p.m. confirmed unsealed fire wall penetrations in the following locations:1) Corridor Fire wall above ceiling by room C488 has a 4-inch drain line penetration
2) 2nd floor pathology blood lab Flammable Storage room in left rear has unsealed openings in the cinderblock wall
3) Dietary storage room has 3-inch unsealed sprinkler main
4) Ground floor visitors entrance above double fire doors are unsealed
5) Above interior side of Pharmacy entrance door
6) LL2 PRU ICU dirty utility room plumbing is not firestopped
7) LL2 mechanical room wall cinderblock missing above horn/strobe and unsealed damaged block in far corner of same wall.
8) LL3 above lobby side of fire door
9) LL3 above GI Diagnostic center corridor fire door has 2 unsealed conduit penetrations.

Based on observation and interview, the facility failed to assure horizontal exits were accessible at all times.

The findings include:

Observation and interview at the Central, 2nd floor Neuro-suite on May 31, 2011 at 10:50 a.m. confirmed the horizontal exit doors from the unit were modified with non-approved locking hardware (deadbolts) that took five (5) minutes to open.

Based on observation and interview, the facility failed to assure outside lights at each of the exit discharges from the building were illuminated such that the failure of any single lighting fixture (bulb) would not leave the area in darkness (NFPA 101, 7.8.1.4).
The findings include:
Observation and interview with the Maintenance Director, on June 1, 2011 at 1:20 p.m. confirmed the outside lights at the exits from the 1st floor C-wing exit, Ground floor C-wing-to-Courtyard exit, , and LL3 Oak Hill exit were not lit with multiple lighting units.

Based on observation and interview, the facility failed to assure fire rated construction is maintained.
The findings include:
Observation and interview with the Maintenance Director for Mercy Medical Center North, on June 2, 2011 at 10:00 a.m. confirmed the 5th floor IDF room (5111) failed to have spray on fireproofing on a three-foot section of I-beam in the ceiling

Based on observation and interview, the facility failed to assure corridor fire doors closed to a positive latch..
The findings include:
Observation and interview with the Maintenance Director, on May 31, 2011 and June 1, 2011 . confirmed the following corridor fire doors would not close to a positive latch:
1) Fire door by "Regional Risk Officer"
2) 2nd floor Fire door by red elevators.
3) 1st floor Fire door by A-wing red elevators
4) Cafeteria entrance fire doors had smoke door on one side with a deadbolt latch preventing door from opening after closing.
5) LL2 biohazard waste room door
6) LL3-to-womens Pavilion fire door had lower hardware latch removed.
7) Stairwell fire door by room T202 does not latch

Based on observation and interview, the facility failed to assure the building's fire rated construction is maintained.
The findings include:
Observation and interview with the Maintenance Director, on June 1 and 2, 2011 between 8:30 a.m. and 3:00 p.m. confirmed unsealed fire wall penetrations in the following locations:1) Corridor Fire wall above ceiling by room C488 has a 4-inch drain line penetration
2) 2nd floor pathology blood lab Flammable Storage room in left rear has unsealed openings in the cinderblock wall
3) Dietary storage room has 3-inch unsealed sprinkler main
4) Ground floor visitors entrance above double fire doors are unsealed
5) Above interior side of Pharmacy entrance door
6) LL2 PRU ICU dirty utility room plumbing is not firestopped
7) LL2 mechanical room wall cinderblock missing above horn/strobe and unsealed damaged block in far corner of same wall.
8) LL3 above lobby side of fire door
9) LL3 above GI Diagnostic center corridor fire door has 2 unsealed conduit penetrations.

Based on observation and interview, the facility failed to assure horizontal exits were accessible at all times.

The findings include:

Observation and interview at the Central, 2nd floor Neuro-suite on May 31, 2011 at 10:50 a.m. confirmed the horizontal exit doors from the unit were modified with non-approved locking hardware (deadbolts) that took five (5) minutes to open.

Based on observation and interview, the facility failed to assure outside lights at each of the exit discharges from the building were illuminated such that the failure of any single lighting fixture (bulb) would not leave the area in darkness (NFPA 101, 7.8.1.4).
The findings include:
Observation and interview with the Maintenance Director, on June 1, 2011 at 1:20 p.m. confirmed the outside lights at the exits from the 1st floor C-wing exit, Ground floor C-wing-to-Courtyard exit, , and LL3 Oak Hill exit were not lit with multiple lighting units.