HospitalInspections.org

A. Based on observation on11/30/2011 there were unsealed penetrations in the smoke wall over the smoke door in the lobby. (The one that did not close on the fire alarm)
42 CFR 483.70 (a)

A. Based on observation on 11/30/2011 the smoke door off the lobby failed to close upon activation of the fire alarm.
42 CFR 483.70 (a)

A. Based on observation and on 12/01/2011 staff interview the door from OR , the lab. and the conference room required more than one (1) motion of the hand in order to exit.
42 CFR 483.70 (a)

A. Based on observation on 11/30/2011 the door from the exam room requires more than one (1) motion of the hand to exit the room.
42 CFR 483.70 (a)

A. Based on observation and staff interview the exit discharge from the South stair well did not have the required emergency lighting to a safe public way.

A. Based on observation on 11/30/2011 there was no emergency ligthing in the med. records storage area.
42 CFR 483.70 (a)

A. Based on observation on 11/30/2011 there was not proper exit signage to direct you out of the gym area.
42 CFR 483.70 (a)

A. Based on observation on11/30/2011 there was an exit door from the main lobby that was lacking an EXIT sign.
42 CFR 483.70 (a)

A. Based on observation on 11/30/2011 the fire alarm panel failed to give an visual trouble signal when the phone line was disconnected.
42 CFR 483.70 (a)

A. Based on observation and staff interview on 12/01/2011 there were sprinkler valves that were not supervised . (one near the OR and one in the soiled linen room on the SNF floor)
42 CFR 483.70 (a).

A. Based on observation and staff interview on 12/01/2011 there were no ashtrays of approved design nor a metal self-closing container in the smoking area.

A. Based on observation and staff interview on 12/01/2011 the OR had no way to monitor the temp. nor the humidity in the OR. ( the equipment was being repaired at the time of the survey).
42 CFR 483.70 (a)

A. Based on observation on 11/30/2011 the air handlers failed to shut upon activation of the fire alarm.
42 CFR 483.70 (a)

A. Based on observation and staff interview on 12/01/2011 the med. gas cylinders in the 02 farm outside are not protected from the weather ( snow, sleet, rain, etc. There must be a cover to protect them.
B. There were 02 cylinders at the SNF nurses station that were not secured and fulls and empty cylinders were mixed.
42 CFR 483.70 (a)

A. Based on observation on 11/30/2011 there were unsecured and mixed full and empty 02 cylinders in the out side storage room on the dock.
42 CFR 483.70

A. Based on observation and staff interview on 12/01/2011 there were no rails on the loading dock to prevent some one from falling the dock.
42 CFR 483.70 (a)





21960

A. Based on observation on 12/01/2011, there were no guardrails as required on loading dock to prevent someone from falling from loading dock.

A. Based on observation on 11/30/2011 the electrical panel in the med. room had storage in front of it
B. There were exposed light bulbs in the toilet near the fire alarm panel..
42 CFR 483.70 (a)

A. Based on observation on 12/01 2011 there were 02 cylinders stored in front of the electrical panel at SNF nurses station.
B. Based on observation and staff interview on 12/01/2011 there were surge protecters and multi-plug outlets being used in the SNF day room.

A. Based on observation on11/30/2011 there were unsealed penetrations in the smoke wall over the smoke door in the lobby. (The one that did not close on the fire alarm)
42 CFR 483.70 (a)

A. Based on observation on 11/30/2011 the smoke door off the lobby failed to close upon activation of the fire alarm.
42 CFR 483.70 (a)

A. Based on observation and on 12/01/2011 staff interview the door from OR , the lab. and the conference room required more than one (1) motion of the hand in order to exit.
42 CFR 483.70 (a)

A. Based on observation on 11/30/2011 the door from the exam room requires more than one (1) motion of the hand to exit the room.
42 CFR 483.70 (a)

A. Based on observation and staff interview the exit discharge from the South stair well did not have the required emergency lighting to a safe public way.

A. Based on observation on 11/30/2011 there was no emergency ligthing in the med. records storage area.
42 CFR 483.70 (a)

A. Based on observation on 11/30/2011 there was not proper exit signage to direct you out of the gym area.
42 CFR 483.70 (a)

A. Based on observation on11/30/2011 there was an exit door from the main lobby that was lacking an EXIT sign.
42 CFR 483.70 (a)

A. Based on observation on 11/30/2011 the fire alarm panel failed to give an visual trouble signal when the phone line was disconnected.
42 CFR 483.70 (a)

A. Based on observation and staff interview on 12/01/2011 there were sprinkler valves that were not supervised . (one near the OR and one in the soiled linen room on the SNF floor)
42 CFR 483.70 (a).

A. Based on observation and staff interview on 12/01/2011 there were no ashtrays of approved design nor a metal self-closing container in the smoking area.

A. Based on observation and staff interview on 12/01/2011 the OR had no way to monitor the temp. nor the humidity in the OR. ( the equipment was being repaired at the time of the survey).
42 CFR 483.70 (a)

A. Based on observation on 11/30/2011 the air handlers failed to shut upon activation of the fire alarm.
42 CFR 483.70 (a)

A. Based on observation and staff interview on 12/01/2011 the med. gas cylinders in the 02 farm outside are not protected from the weather ( snow, sleet, rain, etc. There must be a cover to protect them.
B. There were 02 cylinders at the SNF nurses station that were not secured and fulls and empty cylinders were mixed.
42 CFR 483.70 (a)

A. Based on observation on 11/30/2011 there were unsecured and mixed full and empty 02 cylinders in the out side storage room on the dock.
42 CFR 483.70

A. Based on observation and staff interview on 12/01/2011 there were no rails on the loading dock to prevent some one from falling the dock.
42 CFR 483.70 (a)





21960

A. Based on observation on 12/01/2011, there were no guardrails as required on loading dock to prevent someone from falling from loading dock.

A. Based on observation on 11/30/2011 the electrical panel in the med. room had storage in front of it
B. There were exposed light bulbs in the toilet near the fire alarm panel..
42 CFR 483.70 (a)

A. Based on observation on 12/01 2011 there were 02 cylinders stored in front of the electrical panel at SNF nurses station.
B. Based on observation and staff interview on 12/01/2011 there were surge protecters and multi-plug outlets being used in the SNF day room.