HospitalInspections.org

Based on observation and interview, the facility failed to assure that fire sprinklers were free of foreign materials. This deficient practice would affect the operation of the sprinklers and increased the potential that the sprinkler system would fail to activate as designed during a fire. The facility has the capacity for 23 beds with a census of 7 on the day of survey

Findings are:
Observations on 11-1-22 at 1:10 pm revealed, six sprinklers in the Laundry room were covered with lint.

During an interview on 11-1-22 at 1:10 pm, Maintenance Staff A and Maintenance Staff B confirmed the foreign materials on the sprinkler.

NFPA Standard:
NFPA 25, 2011, 5.2.1.1.1
Sprinklers shall not show signs of leakage; shall be free of corrosion, foreign materials, paint, and physical damage; and shall be installed in the correct orientation (e.g., upright, pendent, or sidewall).
5.2.1.1.2 Any sprinkler that shows signs of any of the following shall be replaced:
(1) Leakage
(2) Corrosion
(3) Physical damage
(4) Loss of fluid in the glass bulb heat responsive element
(5)*Loading
(6) Painting unless painted by the sprinkler manufacturer

Based on observation and interview, the facility failed to provide a cover for an electrical receptacle. The deficient practice increased the potential of an electrical shock or fire from unintended contact with live electrical wiring. The facility has the capacity for 23 beds with a census of 7 on the day of survey.

Findings are:
Observations on 11-1-22 at 2:15 pm revealed an electrical receptacle in the business office was missing a cover plate.

During an interview on 11-1-22 at 2:15 pm, Maintenance Staff A and Maintenance Staff B confirmed the missing cover plate.

Based on observation and interview, the facility failed to assure that extension cords were not used within the facility. This deficient practice could increase the potential for an electrical fire. The facility has the capacity for 23 beds with a census of 7 on the day of survey.

Findings are:
Observations on 11-1-22 at 1:19 pm revealed, holiday lights that were hanging off the nurse's station was plugged into an extension cord. Staff removed the holiday lights and extension cord on the day of the survey.

During an interview on 11-1-22 at 1:19 pm, Maintenance Staff A and Maintenance Staff B confirmed the use of an unapproved extension cord.