HospitalInspections.org

Based on observations during the follow-up survey, the facility failed to maintain the corridor walls.

The findings included:

1. Observation on 10/12/2015 at 8:15 AM, revealed the corridor walls were not fully constructed to the roofing deck assembly in the following locations:
a. Main corridor above dining hall, waiting area above dining hall.
b. Waiting area above administration offices.
c. Main corridor above administration offices.
NFPA 101, 19.3.6.2.1 (2000 Edition)

2. Observation on 10/12/2015 at 8:15 AM, revealed penetrations in the corridor walls and the walls were not sealed at the roofing deck assembly in the following locations:
a. Main corridor above dining hall, waiting area above dining hall.
b. Waiting area above administration offices.
c. Main corridor above administration offices.
d. Main corridor above respiratory and medical record rooms.
e. Firewall above cross corridor fire doors near medical surgery patient rooms.
f. Radiology corridor.
NFPA 101, 19.3.6.2.1 (2000 Edition)

These findings were verified by the plant operations director during the survey and acknowledged by the chief executive officer during the exit conference on 10/12/2015.