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Based on observations the facility failed to provide smoke barriers that were constructed with at least a one-half hour fire resistance rating for 4 of 4 walls. This deficiency affects 5 of 5 smoke compartments and 4 patients in the facility.

Findings:

During facility tour on August 2, 2010 between 2:30 p.m. and 5:00 p.m., the integrity of the smoke barrier wall was observed to be compromised. All four smoke barrier walls have a bundle of six computer wires that were not sealed going through it. The wires are penetrating each wall at the corridor doors above the suspended ceiling.

Based on observation the facility failed to provide proper protection for 2 of 6 hazardous areas as per NFPA 101 (Life Safety Code). This deficiency affects 4 patients in the facility.

Note: NFPA 101, 2000 Edition:
NFPA 101, Chapter 3, "Protection" 19.3.5.4 if the hazardous areas is sprinkled then the walls and doors to the hazardous area shall be smoke resistive and the door shall be self-closing.

Findings:

During a tour of the facility on August 3, 2010 between 2:30 a.m. and 5:00 p.m., observation revealed that following hazardous areas did not have doors that were self-closing or walls that did not resist the passage of smoke.

1. The door to Clean Central Supply room was not self-closing.
2. Two 4 " inch chill water supply lines that penetrate the boiler room are not sealed.

Based on observations the facility failed to provide smoke barriers that were constructed with at least a one-half hour fire resistance rating for 4 of 4 walls. This deficiency affects 5 of 5 smoke compartments and 4 patients in the facility.

Findings:

During facility tour on August 2, 2010 between 2:30 p.m. and 5:00 p.m., the integrity of the smoke barrier wall was observed to be compromised. All four smoke barrier walls have a bundle of six computer wires that were not sealed going through it. The wires are penetrating each wall at the corridor doors above the suspended ceiling.

Based on observation the facility failed to provide proper protection for 2 of 6 hazardous areas as per NFPA 101 (Life Safety Code). This deficiency affects 4 patients in the facility.

Note: NFPA 101, 2000 Edition:
NFPA 101, Chapter 3, "Protection" 19.3.5.4 if the hazardous areas is sprinkled then the walls and doors to the hazardous area shall be smoke resistive and the door shall be self-closing.

Findings:

During a tour of the facility on August 3, 2010 between 2:30 a.m. and 5:00 p.m., observation revealed that following hazardous areas did not have doors that were self-closing or walls that did not resist the passage of smoke.

1. The door to Clean Central Supply room was not self-closing.
2. Two 4 " inch chill water supply lines that penetrate the boiler room are not sealed.