HospitalInspections.org

Based on observation and document review, the provider failed to meet the minimum construction standards of health care occupancies. Findings include:

1. Observation at 10:00 a.m. revealed the building was a single story, slab on grade building, constructed of heavy timber, Type IV (2HH) in the patient wings and protected noncombustible, Type II (111) in the core area. The core of the building had a partial basement. The building did not have a complete automatic sprinkler system. Review of previous survey records at the time of the observation confirmed that finding.

The building will meet the FSES. Please mark an "F" in the completion date column to indicate the facility's intent to correct the deficiencies identified in K000.

Based on observation and review of previous survey documents, the provider failed to maintain two acceptable exits from the basement level of the building. Findings include:

1. Observation at 11:00 a.m. revealed the basement level of the facility did not have conforming exits. Both interior stairs from the basement discharged into the corridor on the first floor level, and there was not a one hour fire rated exit passageway to the exterior of the building. Review of previous survey records at the time of the observation confirmed that finding.

The building will meet the FSES. Please mark an "F" in the completion date column to indicate the facility's intent to correct the deficiencies identified in K000.

Based on observation and record review, the provider failed to maintain clear door widths of at least 32 inches for ten randomly observed sets of exit access doors. Findings include:

1. Observation from 10:00 a.m. until 2:00 p.m. revealed the following doors/leaves were only 30 inches wide and provided less than 32 inches of clear open width:
*The double-doors (each leaf) for the main entrance/exit.
*The double-doors (each leaf) for the entrance vestibule.
*The corridor double-doors (each leaf) from the lobby to the vestibule.
*The doctors' locker room corridor door.
*The south door to the scope room in the north patient wing.
*The nurses' locker room corridor door in the south patient wing west.
*The doctors' changing room (adjacent to surgery) door in the east-west corridor.
*The nurses' changing room door.
*The double-doors (each leaf) to the corridor on the south side of the kitchen.
*The central sterilizing room corridor double-doors (each leaf).

Review of previous survey records at the time of the above observations confirmed the above findings.

The building will meet the FSES. Please mark an "F" in the completion date column to indicate the facility's intent to correct the deficiencies identified in K000.

Based on observation and document review, the provider failed to meet the minimum construction standards of health care occupancies. Findings include:

1. Observation at 10:00 a.m. revealed the building was a single story, slab on grade building, constructed of heavy timber, Type IV (2HH), in the patient wings and protected noncombustible Type II (111) in the core area. The core of the building had a partial basement. The building did not have a complete automatic sprinkler system. Review of previous survey records at the time of the observation confirmed that finding.

The building will meet the FSES. Please mark an "F" in the completion date column to indicate the facility's intent to correct the deficiencies identified in K000.