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Tag No.: K0222
Based on observation and staff interview, the facility failed to ensure that they maintained their egress doors per the requirements of:
NFPA 101 Life Safety Code (LSC) 2012 edition, Chapters 4.6.1.1, 4.6.12.1, 4.6.12.4, 4.6.12.5, 7.1.10.1, 7.2.1.6.1.1, 19.2.2.2.4
This deficiency is an isolated event and has the potential to affect a very small number of residents, staff and visitors located throughout the facility.
Findings include:
Observation during facility tour (Trident Medical Center Main Campus) on 2/25/2019 at approximately 0930 hrs to 1215 hrs and 1345 hrs to 1615 hrs revealed one (1) delayed egress door located on 4th floor in the Close Observation Unit (C.O.U) leading to nurses station and elevator would not open within 15 seconds when a force of not more than 15 lbf (67 N) was applied.
The Facilities Director was present when the deficiency was identified (during walk-through). Exit interview with the Facilities Director and Vice President of Operations on 2/28/2019 at approximately 1300 hrs verified knowledge of one (1) delayed egress door located in the C.O.U not opening within 15 seconds per the door signage.