HospitalInspections.org

Based on observation and staff interview, this facility is not providing appropriate construction standards as required by the Life Safety Code. The facility is a one-story building composed of protected non-combustible construction (concrete and steel) and had an area with unprotected steel beams, in violation of NFPA 101, 19.1.6.2. This deficient practice affects all occupants of the building. This facility is certified for 25 beds and had a census of 7.
Findings include:
Observations and staff interviews on 06/25/14 and 9/25/14, the facility was observed to be a one-story building composed of protected non-combustible construction (concrete and steel). The following area contained exposed beams:
1. The ambulance bay had exposed red steel that the fire retardant spray had fallen off due to the garage door beam.

Based on observation and staff interview, the facility is not providing doors to the corridor that stay latched tightly within the doorframes. This deficient practice would not prevent the spread of smoke, affecting all occupants in one of nine smoke zones. This facility is certified for 25 beds with a census of 7.
Findings include:
1. Observations and staff interviews on 6/25/14 and 9/25/14, revealed the door to the Electrical Room (D131A) would not latch properly into the frame due to the self-closing device. Maintenance Staff confirmed this observation during the survey process.

Based on observation and staff interview, the facility could not provide emergency plans and procedures. This deficient practice effects all occupants including staff, visitors and patients, as this can affect the abilities of the staff to respond in the event of an actual emergency. This facility is certified for 25 beds and had a census of 7.
Findings include:
Review of the facility ' s records and staff interviews on 6/25/14 and 9/25/14, revealed that the facility could not provide their emergency plans and procedures during a fire emergency drill. Maintenance Staff verified this observation during the survey process.

Based on observation and staff interview, it was determined the facility failed to maintain the buildings electrical wiring system in accordance with National Fire Protection Association (NFPA) Standard 70, National Electrical Code, 1999 edition, placing the Staff and Patients of the facility at risk in the event of a fire. The facility had a capacity of 25 and a census of 7 at the time of the survey.
Findings include:
Observations and staff interviews on 6/25/14 and 9/25/14, revealed the facility failed to maintain the electrical system in the following areas:
1. In the Basement by the Materials Management door was a missing cover plate for the electrical junction box located on the East wall.
Maintenance Staff verified these observations during the survey process.