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SWISHER MEMORIAL HOSPITAL
No Description Available
Tag No.: K0025
Based on observations made during the survey of the facility between the hours of 9:30 am and 12:00 pm, while accompanied by the Chief Nursing Officer, Director of Facilities, and Director of QA/PI it was observed that the facility failed to maintain the required fire/smoke rating for a portion of the SMOKE BARRIER WALL. There were multiple unsealed penetrations located in this wall above the cross-corridor doors near the RADIOLOGY / LAB. Additionally, at this location the top of the SMOKE BARRIER WALL was not fire-stopped where it meets the structural deck above.
No Description Available
Tag No.: K0052
Based on observations made during the survey of the facility between the hours of 9:30 am and 12:00 pm, while accompanied by the Chief Nursing Officer, Director of Facilities, and Director of QA/PI it was observed that the facility failed to provide a log indicating compliance with requirement for documentation of the monthly testing by staff of the fire alarm system and its automatic signal response.
No Description Available
Tag No.: K0064
Based on observations made during the survey of the facility between the hours of 9:30 am and 12:00 pm, while accompanied by the Chief Nursing Officer, Director of Facilities, and Director of QA/PI it was observed that while it appears the facility had accomplished some yearly inspections required for all fire extinguishers, the facility failed to provide a comprehensive log indicating consistent and routine compliance of such.
No Description Available
Tag No.: K0130
Based on observations made during the survey of the facility between the hours of 9:30 am and 12:00 pm, while accompanied by the Chief Nursing Officer, Director of Facilities, and Director of QA/PI it was observed that while it appears the facility had accomplished some of the requirements, the facility failed to provide logs indicating consistent, systematic compliance on the following issues and items:
1. Air filter change log.
2. Electrical power and distribution and grounding systems - Effectiveness.
Critical Areas: Semi-annually.
General Areas: Annually
No Description Available
Tag No.: K0145
Based on observations made during the survey of the facility between the hours of 9:30 am and 12:00 pm, while accompanied by the Chief Nursing Officer, Director of Facilities, and Director of QA/PI it was observed that the facility failed to comply with the requirements in NFPA 99, 1999: 3.4.2.2.2 to have the MED GAS ALARM powered from the LIFE SAFETY BRANCH of the Emergency Electrical System.