HospitalInspections.org

Based on observation and interview, the facility was a Type I/Type II building construction and the facility failed to provide/maintain interior walls/partitions that were built with noncombustible or limited combustible materials in accordance with Section 19.1.6.3 of the 2000 Life Safety Code. This facility had a capacity of 25 patience and a census of 6 patience on the date of inspection.
Findings Include:
Observations and staff interviews on 12/16/15 at 10:55 am, revealed holes (approximately 3x6 inches in size) located by the outlets in the Maintenance Office.
Maintenance Staff A verified this observation.

Based on observation and interview, the facility failed to maintain resident room doors in proper working condition to close and latch properly into the door frame with the swing of the door closer in accordance with Section 19.3.6.3.1 of the 2000 Life Safety Code. This facility had a capacity of 25 residents and a census of 6 residents on the date of inspection.
Findings Include:
Observations and staff interviews on 12/16/15 at 12:00 pm, revealed a gap ( approximately 1/8th of an inch) located between the top of the door and the door frame on the doors to Rooms 225, 228, 229.
Maintenance Staff A verified these observations.

Based on observation and interview, the facility failed to maintain the 1 hour fire resistant rated construction in hazardous rooms from other compartments in accordance with Section 19.3.5.4 of the National Fire Protection Association (NFPA) Standard 101, Life Safety code, 2000 edition. This facility had a capacity of 25 patience's and a census of 6 patience's on the date of inspection.
Findings Include:
1. Observations and staff interviews on 12/16/15 at 12:10 pm, revealed the door to the Clean Supply Room did not have self closing door hardware.
2. Observations and staff interviews on 12/16/15 at 11:29 am, revealed items were located on the fire window sill located in the Kitchen. This would prevent the proper operation of the window in the event of a fire.
Maintenance Staff verified these observations.

Based on observation and interview, the facility failed to maintain exits that are easily accessible at all times in accordance with Section 19.2.1 and Section 7.1 of the National Fire Protection Association (NFPA) Standard 101, Life Safety Code, 2000 edition. This facility had a capacity of 25 patience's and a census of 6 patience's on the date of inspection.
Findings Include:
1. Observations and staff interviews on 12/16/15 at 11:03 am, revealed a deadbolt located on the door to the Administration Room Door.
2. Observations and staff interviews on 12/16/15 at 11:14 am, revealed a deadbolt on the door to the PT Room.
3. Observations and staff interviews on 12/16/15 at 11:45 am, revealed a deadbolt on the door to the X-Ray Room.
Maintenance Staff A verified these observations.

Based on observation and interview, the facility failed to provide proper portable fire extinguishers within the facility that were in accordance with the National Fire Protection Association (NFPA) Standard 10, Standard for Portable Fire Extinguishers, 1998 edition and Section 19.3.5.6 of the NFPA Standard 101, Life Safety Code, 2000 edition. This facility had a capacity of 25 patience and a census of 6 patience on the date of inspection.
Findings Include:
Observations and staff interviews on 12/16/15 at 11:06 am, revealed the access to the fire extinguisher (#15) located in the Business Office was obstructed.
Maintenance Staff A verified this observation.

Based on observation and interview, the facility was a Type I/Type II building construction and the facility failed to provide/maintain interior walls/partitions that were built with noncombustible or limited combustible materials in accordance with Section 19.1.6.3 of the 2000 Life Safety Code. This facility had a capacity of 25 patience and a census of 6 patience on the date of inspection.
Findings Include:
Observations and staff interviews on 12/16/15 at 10:55 am, revealed holes (approximately 3x6 inches in size) located by the outlets in the Maintenance Office.
Maintenance Staff A verified this observation.

Based on observation and interview, the facility failed to maintain resident room doors in proper working condition to close and latch properly into the door frame with the swing of the door closer in accordance with Section 19.3.6.3.1 of the 2000 Life Safety Code. This facility had a capacity of 25 residents and a census of 6 residents on the date of inspection.
Findings Include:
Observations and staff interviews on 12/16/15 at 12:00 pm, revealed a gap ( approximately 1/8th of an inch) located between the top of the door and the door frame on the doors to Rooms 225, 228, 229.
Maintenance Staff A verified these observations.

Based on observation and interview, the facility failed to maintain the 1 hour fire resistant rated construction in hazardous rooms from other compartments in accordance with Section 19.3.5.4 of the National Fire Protection Association (NFPA) Standard 101, Life Safety code, 2000 edition. This facility had a capacity of 25 patience's and a census of 6 patience's on the date of inspection.
Findings Include:
1. Observations and staff interviews on 12/16/15 at 12:10 pm, revealed the door to the Clean Supply Room did not have self closing door hardware.
2. Observations and staff interviews on 12/16/15 at 11:29 am, revealed items were located on the fire window sill located in the Kitchen. This would prevent the proper operation of the window in the event of a fire.
Maintenance Staff verified these observations.

Based on observation and interview, the facility failed to maintain exits that are easily accessible at all times in accordance with Section 19.2.1 and Section 7.1 of the National Fire Protection Association (NFPA) Standard 101, Life Safety Code, 2000 edition. This facility had a capacity of 25 patience's and a census of 6 patience's on the date of inspection.
Findings Include:
1. Observations and staff interviews on 12/16/15 at 11:03 am, revealed a deadbolt located on the door to the Administration Room Door.
2. Observations and staff interviews on 12/16/15 at 11:14 am, revealed a deadbolt on the door to the PT Room.
3. Observations and staff interviews on 12/16/15 at 11:45 am, revealed a deadbolt on the door to the X-Ray Room.
Maintenance Staff A verified these observations.

Based on observation and interview, the facility failed to provide proper portable fire extinguishers within the facility that were in accordance with the National Fire Protection Association (NFPA) Standard 10, Standard for Portable Fire Extinguishers, 1998 edition and Section 19.3.5.6 of the NFPA Standard 101, Life Safety Code, 2000 edition. This facility had a capacity of 25 patience and a census of 6 patience on the date of inspection.
Findings Include:
Observations and staff interviews on 12/16/15 at 11:06 am, revealed the access to the fire extinguisher (#15) located in the Business Office was obstructed.
Maintenance Staff A verified this observation.