HospitalInspections.org

Based on observations, the facility failed to maintain the sprinkler system.

The finding included:

Observation on 02/26/2019 at 7:52 AM, revealed the rear loading dock had storage (cardboard boxes, wood pallets, etc) underneath the canopy and was not sprinklered.
NFPA 101, 19.3.5.1 (2012 Edition), NFPA 101,9.7.1.1 (2012 Edition) NFPA 13, 8.15.7.5 (2010 Edition)

The plant operations director, manager and assistant administrator were present when this deficiency was identified, and was later acknowledged during the exit conference by the administrative staff on 02/27/2019.

Based on observations, the facility failed to maintain the cross corridor doors.

The findings included:

1. Observation on 02/26/2019 at 9:43 AM, revealed the stairwell door by 220 had an undercut of over 3/4 inch.
NFPA 101, 19.2.2.2.1 (2012 Edition), NFPA 101, 7.2.1.15.2 (2012 Edition) NFPA 80, 4.8.4.1 (2010 Edition)

2. Observations on 02/26/2019 between 10:45 AM - 4:00 PM, revealed that the 1 1/2 hour rated cross corridor doors by room 234 and throughout the first floor of the facility had the bottom latching hardware on the doors removed, and were missing the latching hardware in the floor.
NFPA 101, 19.2.2.2.1 (2012 Edition), NFPA 101, 7.2.1.15.2 (2012 Edition), NFPA 80, 6.5.2 (2010 Edition)

3. Observation on 02/26/2019 at 2:30 PM, revealed the OB Assessment doors were missing the astragals.
NFPA 101, 19.2.2.2.1 (2012 Edition), NFPA 101, 7.2.1.15.2 (2012 Edition), NFPA 80, 6.4.7 (2010 Edition)

The plant operations director, manager, and the assistant administrator were present when these deficiencies were identified, and were later acknowledged during the exit conference by the hospital administration on 02/27/2019.