HospitalInspections.org

15910

Based on observation and an interview, it was determined that the hospital failed to maintain egress stairways.

The findings include:

It was observed on 6/21/11 that the balusters and balustrades on the 3 rd floor of the outside exit stairs were rusted and loose outside doors # 18 and door # 20. The Facility Operations Vice President concurred with the observation at the time of the survey.
Observation on 9/22/11 at approximately 2:00 P.M. showed the balusters and balustrades on the 3 rd floor of the outside exit stairs outside doors # 18 and door # 20 continued to be rusty and loose. The Facility Operation Vice President acknowledged that this citation had not been corrected and s/he provided documentation that an outside welding firm had been contracted to complete these repairs.

15910

Based on observation and an interview it was determined that the hospital failed to ensure that sprinkler coverage is extended to all areas of the building.

The findings include:

It was observed on 6/22/11 at approximately 11 A.M. that there was no sprinkler coverage for the rear loading platform. The Operations Vice President concurred with observation at the time of the survey.
Observations on 9/22/11 at approximately 2:05 P.M. revealed that the rear loading platform was still without sprinkler coverage. This was acknowledged by the Facility Operation Vice President at the time of the observation. The Facility Operation Vice President provided an estimate and proposal from a contractor for correcting this problem.

15910

Based on observation and an interview, it was determined that the hospital failed to ensure that the HVAC system is according to NFPA 90A.

The findings include:

It was observed on 6/22/11 at 7:30 A.M. during a test of the emergency power for the building that the fumes from the emergency generator engine exhaust 45 feet away and 30 above the main HVAC air intake for the building. The Facility Operation Vice President went to shut off the air intake fan and stated this is the standard operating procedure to shut off the air intake when the emergency generator is running. NFPA 90A, chapter 2-2.1.4.
On 9/22/11 at approximately 2:15 P.M. , the Facility Operation Vice President acknowledged that the corrections for this deficiency involving the exhaust for the emergency generator had not been completed. Documentation was produced to show that the facility had contracted with outside firms to find an engineering solution for this problem.