HospitalInspections.org

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain their lay in ceiling tiles.

Finding are:

On facility tour between 10:00 am and 01:00 pm. on 04-01-14, observation revealed several laying ceiling tiles were damage, broken, wet, or out of place through out hospital.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain their fire rated interior corridor door separtion.

Finding are:

On facility tour between 10:00 am and 01:00 pm on 04-01-14, observation revealed several interior corridor doors were not postive latching and suitable for keeping door closed.

Finding are:

On facility tour between 10:00 am and 01:00 pm on 04-01-14, observation revealed a room for the employees next to the Lab had been converted into an apartment which the interior corridor doors was not self closing postive latching, multi extension cords were being used and convection oven was being used inside the room.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain there fire rated smoke partiton separtion between front lobby and interior corridor.

Finding are:

On facility tour between 10:00 am and 01:30 pm on 04-01-14, observation revealed that the self closuer on the fire rated smoke door between front lobby and interior corridor had been removed off door.

This requirement was NOT MET as evidenced by:

Based on observation and staff interview, the facility failed to maintain their fire alarm system inaccordance with NFPA 72 and O.C.G.A Title 25

Finding are:

On facility tour between 10:00 am and 01:30 pm on 04-01-14, observation, and staff question, their had been a new fire alarm control panel installed in December 2012 with out being approved, & inspected by the State Fire Marshal's Office.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain their automatic sprinkler system inaccordance with NFPA 13.

Finding are:

On facility tour between 10:00 am and 01:00 pm on 04-01-14, observation revealed that a automatic sprinkler head inside the walk in cooler and excessive build up and rusted, but automtic sprinkler riser had a current green inspection tag required by the State Fire Marshal Office.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain their automatic extinguisher system under kitchen hood inaccordance with NFPA 96.

Finding are:

On facility tour between 10:00 am and 01:00 pm on 04-01-14, observation revealed that the automatic extinguisher system under kitchen hood piping and heads were not aline to provide coverage over cooking equipment and piping was loose.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain their emergency shower in the Lab inaccordance with NFPA 99.

Finding are:

On facility tour between 10:00 am and 01:00 pm on 04-01-14, observation revealed the emergency shower inside the Lab area was obstructed which was not accessible in an emergency and had not been inspected nor tested inaccordance with NFPA 99.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour & staff interview, the facility failed to maintain their Anesthetizing area with in the operating suite inaccordance with NFPA 99.

Finding are:

On facility tour between 10:00 am and 01:00 pm on 04-01-14, observation, records review, and staff question, the line isolation (Master alarm panel) did not provide a audible and visible signal in either the operating room, nor outside the operating room, and no records were being kept where the master alarm panel was being tested and maintain.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain their oxygen storage area inaccordance with NFPA 99.

Finding are:

On facility tour between 10:00 am and 01:00 pm. on 04-01-14, observatioin reveal portable oxygen cylinders being kept inside a room outside of operating room area and their was no signage of Non-Smoking and No Smoking sign in area.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain their electrical system inaccordance with NFPA 99 and NFPA 70.

Finding are:

On facility tour between 10:00 am and 01:00 pm, on 04-01-14, observation revealed non approved electrical wiring through out facility which in no way conforms to the National Electrical Code NFPA 70 Health care section and NFPA 99.

A) Non approved health care grade multi plug adapters being used in Operating Room.
B) Non approved health care grade flexible cables (Extension Cords) being usesd in Operating room.
C) Non approved health care grade flexible cables (Extension Cords) being used in Lab area.
D) Non approved health care grade flexible cables (Extension Cords) being used in Patient Care Rooms.
E) Non approved health care grade flexible cables (Extension Cords) being used through out other areas of Hospital.
F) Electrical Juntion box cover off to Air Condition in room 109.
G) Electrical Junction box cover under Air Condition unit in room 107 is not securied.
H) Electrical wiring under Air condition units in room 107 is not in approved electrical conduit.

Finding are:

Electrical receptacle are with in 6 feet of kitchen sink (water) and could not be determine if GFIC.

Finding are:

Unprotected open and holes along the electrical cable tray again wall in CT area.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain their lay in ceiling tiles.

Finding are:

On facility tour between 10:00 am and 01:00 pm. on 04-01-14, observation revealed several laying ceiling tiles were damage, broken, wet, or out of place through out hospital.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain their fire rated interior corridor door separtion.

Finding are:

On facility tour between 10:00 am and 01:00 pm on 04-01-14, observation revealed several interior corridor doors were not postive latching and suitable for keeping door closed.

Finding are:

On facility tour between 10:00 am and 01:00 pm on 04-01-14, observation revealed a room for the employees next to the Lab had been converted into an apartment which the interior corridor doors was not self closing postive latching, multi extension cords were being used and convection oven was being used inside the room.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain there fire rated smoke partiton separtion between front lobby and interior corridor.

Finding are:

On facility tour between 10:00 am and 01:30 pm on 04-01-14, observation revealed that the self closuer on the fire rated smoke door between front lobby and interior corridor had been removed off door.

This requirement was NOT MET as evidenced by:

Based on observation and staff interview, the facility failed to maintain their fire alarm system inaccordance with NFPA 72 and O.C.G.A Title 25

Finding are:

On facility tour between 10:00 am and 01:30 pm on 04-01-14, observation, and staff question, their had been a new fire alarm control panel installed in December 2012 with out being approved, & inspected by the State Fire Marshal's Office.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain their automatic sprinkler system inaccordance with NFPA 13.

Finding are:

On facility tour between 10:00 am and 01:00 pm on 04-01-14, observation revealed that a automatic sprinkler head inside the walk in cooler and excessive build up and rusted, but automtic sprinkler riser had a current green inspection tag required by the State Fire Marshal Office.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain their automatic extinguisher system under kitchen hood inaccordance with NFPA 96.

Finding are:

On facility tour between 10:00 am and 01:00 pm on 04-01-14, observation revealed that the automatic extinguisher system under kitchen hood piping and heads were not aline to provide coverage over cooking equipment and piping was loose.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain their emergency shower in the Lab inaccordance with NFPA 99.

Finding are:

On facility tour between 10:00 am and 01:00 pm on 04-01-14, observation revealed the emergency shower inside the Lab area was obstructed which was not accessible in an emergency and had not been inspected nor tested inaccordance with NFPA 99.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour & staff interview, the facility failed to maintain their Anesthetizing area with in the operating suite inaccordance with NFPA 99.

Finding are:

On facility tour between 10:00 am and 01:00 pm on 04-01-14, observation, records review, and staff question, the line isolation (Master alarm panel) did not provide a audible and visible signal in either the operating room, nor outside the operating room, and no records were being kept where the master alarm panel was being tested and maintain.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain their oxygen storage area inaccordance with NFPA 99.

Finding are:

On facility tour between 10:00 am and 01:00 pm. on 04-01-14, observatioin reveal portable oxygen cylinders being kept inside a room outside of operating room area and their was no signage of Non-Smoking and No Smoking sign in area.

This requirement was NOT MET as evidenced by:

Based on observation and staff tour, the facility failed to maintain their electrical system inaccordance with NFPA 99 and NFPA 70.

Finding are:

On facility tour between 10:00 am and 01:00 pm, on 04-01-14, observation revealed non approved electrical wiring through out facility which in no way conforms to the National Electrical Code NFPA 70 Health care section and NFPA 99.

A) Non approved health care grade multi plug adapters being used in Operating Room.
B) Non approved health care grade flexible cables (Extension Cords) being usesd in Operating room.
C) Non approved health care grade flexible cables (Extension Cords) being used in Lab area.
D) Non approved health care grade flexible cables (Extension Cords) being used in Patient Care Rooms.
E) Non approved health care grade flexible cables (Extension Cords) being used through out other areas of Hospital.
F) Electrical Juntion box cover off to Air Condition in room 109.
G) Electrical Junction box cover under Air Condition unit in room 107 is not securied.
H) Electrical wiring under Air condition units in room 107 is not in approved electrical conduit.

Finding are:

Electrical receptacle are with in 6 feet of kitchen sink (water) and could not be determine if GFIC.

Finding are:

Unprotected open and holes along the electrical cable tray again wall in CT area.