HospitalInspections.org

Based on observation and interview, the facility failed to maintain one action and a special key to exit a room. Findings:

1. A tour of the facility was conducted on 09/06/2023, and the following observation was made:

a. The exit pathway from room #111 (activity office) had a dead bolt lock that required a key to unlock the door from the inside.

2. The Plant Operation Manager was present during the tour of the facility and acknowledged the problem with the dead bolt lock.

Based on observation and interview, the facility failed to maintain corridor doors to resist the passage of smoke located in 1 of 3 smoke compartments. Findings:

1. A tour of the facility was conducted on 09/06/23., and the following observation was made:

a. The double doors for the linen storage closet had a gap between the doors. These doors would not resist the passage of smoke.

2. The Plant Operations Manager was present during the tour of the facility and acknowledged the gaps between the doors.

Based on observation and interview, the facility failed to maintain 1 of 3 smoke barrier walls to resist the passage of smoke. Findings:

1. A tour of the facility was conducted on 09/06/23, and the following observation was made.

a) one unsealed penetration, associated with a blue computer wire was observed above the smoke doors (#11) in the attic.

2. The Plant Operations Manager was present when the smoke wall was observed on 09/06/23, and he acknowledged the unsealed penetrations to the smoke wall.