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160 ALLEN ST

RUTLAND, VT 05701

Doors with Self-Closing Devices

Tag No.: K0223

Based on observation, the hospital failed to ensure self closing doors successfully close and latch in 3 applicable areas of the hospital.

Per observation on 4/3/17, accompanied by the Maintenance Director, the following self-closing doors did not close and latch:
1. Sixth floor penthouse;
2. Fourth floor Rutland East fire door; and
3. Endoscopy fire door.

Stairways and Smokeproof Enclosures

Tag No.: K0225

Based on observation, the hospital failed to ensure stairways are in accordance with requirements in all stair towers in the hospital.

Per observation on 4/3/17, accompanied by the Maintenance Director, all stair towers in the hospital do not have guards (railings) which prohibit a 4 inch sphere from passing through as required.

Sprinkler System - Maintenance and Testing

Tag No.: K0353

Based on observation, the hospital failed to ensure storage in one area of the hospital was in compliance with sprinkler requirements.

Per observation on 4/3/17, accompanied by the Maintenance Director, the Dialysis storage room has storage above the 18 inch sprinkler clearance plane.