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Based on observation, documentation review and interview, the facility failed to ensure extension cords were not used.

The findings include:

Record review of facility reports and photographs on October 24, 2018 at 2:30 PM revealed an unauthorized box fan that initiated a fire, had been used with an extension cord. This was in violation of the facilities policy prohibiting extension cords.

The Team Leader of Engineering was present when the deficiencies were identified and acknowledged by the himb during the exit conference on 10/24/2018.

Based on observation, documentation review and interview, the facility failed to ensure electrical equipment in use was properly tested to protect the safety of the patients. This affected 0 of a possible 167 beds in the facility.

The findings include:

1. Observations, interviews, and record review of facility reports and photographs on October 24, 2018 at 2:30 PM revealed an unauthorized box fan had been in use in the unoccupied, 4th floor intermediate Care Area (IMC area.) This fan was not hospital property and had not been electrically tested.

2. Interview with the ehe Engineering team leader on October 24, 2018 at 2:35 PM revealed was not aware it was in the facility but claimed it had been used for a few weeks.

3. Record review of facility reports on October 24, 2018 at 2:38 PM revealed the fan had been making a knocking noise and caught on fire in the area.
The Team Leader of Engineering was present when the deficiencies were identified and acknowledged by the him during the exit conference on 10/24/2018.