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ATRIUM MEDICAL CENTER
PHYSICAL ENVIRONMENT
Tag No.: A0700
REMAINS CITED
Based on observations, staff interviews, and review of facility design drawings and documentation, this Condition of Participation was not met related to fire safety in regard to trash and linen chute locations, which was cited on the 03/30/12 survey. This has the potential to affect all those utilizing these areas of the facility. The patient census during this visit was 168.
Findings include:
A tour was conducted in the facility on 05/15/12 , between 1:07 PM and 3:00 PM, with Staff A (Maintenance), Staff B (Manager of Maintenance), Staff C (Director of Facilities Management Services), and Staff D (Coordinator of Environment of Care/Construction). During this tour observations of the trash and linen chute access rooms on floors one through four, revealed there were no construction changes evident in these areas to enclose the chutes in a one hour fire resistant rated area, since the 03/30/12 survey visit, with the exception of fire extinguishers were now located in each area. This was verified with Staff C during the tour, who stated the facility required extra time in order to complete the construction.
Refer to A709.
LIFE SAFETY FROM FIRE
Tag No.: A0710
Based on observations, staff interviews, and review of facility design drawings and documentation, the facility failed to meet the provisions of the Life Safety Code, National Fire Protection Association related to trash and linen chute locations, which was cited on the 03/30/12 survey. This has the potential to affect all those utilizing these areas of the facility. The patient census during this visit was 168.
Findings include:
A tour was conducted in the facility on 05/15/12 , between 1:07 PM and 3:00 PM, with Staff A (Maintenance), Staff B (Manager of Maintenance), Staff C (Director of Facilities Management Services), and Staff D (Coordinator of Environment of Care/Construction). During this tour observations of the trash and linen chute access rooms on floors one through four, revealed there were no construction changes evident in these areas to enclose the chutes in a one hour fire resistant rated area, since the 03/30/12 survey visit, with the exception of fire extinguishers were now located in each area. This was verified with Staff C during the tour, who stated the facility required extra time in order to complete the construction.
Trash and linen chutes were observed not in a one hour fire resistant rated protected area.
Refer to K 71.