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Based on visual observation the facility failed to provide corridor doors that were closing and latching in the frame. When the doors latch a smoke resistive seal is formed to protect the room's occupants. The deficient practice had the potential to affect 1 of 23 residents. Finding: During the facility tour, on 8/6/2015 observation revealed corridor door to room # 166 not positive latching.

Based on visual observation the facility failed to assure the construction of the smoke barrier walls. The walls are required to be continuous and properly protected from penetrations and gaps. Unprotected penetrations would permit the movement of smoke from one compartment to the other in the facility. The deficient practice had the potential to affect 2 of 23 residents. Finding: During the facility tour, on 8/6/2015 observation revealed unsealed penetrations at these locations and where ceiling is used for smoke barrier.
1) Two penetrations barrier wall at break room one open hole and red wires not sealed
2) Ceiling missing tiles used for barrier storage room by break room barrier
3) No ceiling in for barrier to separate CT room in phone in kitchen
4) Ceiling, unsealed penetration around sprinklers utility rooms 1 & 2 new hall, bathroom #1 new hall, Linen closet new hall.

Based on visual observation the facility failed to assure that the smoke barrier doors in the facility properly protected the smoke compartment. The smoke barrier doors restrict the movement of smoke from one compartment to another. The deficient practice had the potential to affect 7 of 23 residents.
Finding:
During tour of facility on 8/6/2015 observation revealed barrier doors on new wing not closing smoke resistive.

Findings:
K46 Interior Emergency Lighting
Based on visual observation the facility failed to provide emergency lighting along the entire length of a corridor. Emergency lighting provides visual assurance where evacuation would be necessary during nighttime hours. The deficient practice had the potential to affect 7 of 7 residents.
of corridors has emergency lighting that is deficient.

Findings:

During the facility tour, on 8/6/2015 observation revealed both emergency light not working at Family Medical Clinic

Based on visual observation and record review, the facility failed to assure that the weekly inspection and monthly testing program on emergency generator was conducted and documented. In case of a power outage the emergency generator powers essential life safety equipment for the facility. The deficient practice had the potential to affect 7 of 7 residents. Finding: During the facility on 8/6/2015 observation revealed generation not maintenance type that can check specific gravity for readiness of operation

Based on visual observation the facility failed to provide corridor doors that were closing and latching in the frame. When the doors latch a smoke resistive seal is formed to protect the room's occupants. The deficient practice had the potential to affect 1 of 23 residents. Finding: During the facility tour, on 8/6/2015 observation revealed corridor door to room # 166 not positive latching.

Based on visual observation the facility failed to assure the construction of the smoke barrier walls. The walls are required to be continuous and properly protected from penetrations and gaps. Unprotected penetrations would permit the movement of smoke from one compartment to the other in the facility. The deficient practice had the potential to affect 2 of 23 residents. Finding: During the facility tour, on 8/6/2015 observation revealed unsealed penetrations at these locations and where ceiling is used for smoke barrier.
1) Two penetrations barrier wall at break room one open hole and red wires not sealed
2) Ceiling missing tiles used for barrier storage room by break room barrier
3) No ceiling in for barrier to separate CT room in phone in kitchen
4) Ceiling, unsealed penetration around sprinklers utility rooms 1 & 2 new hall, bathroom #1 new hall, Linen closet new hall.

Based on visual observation the facility failed to assure that the smoke barrier doors in the facility properly protected the smoke compartment. The smoke barrier doors restrict the movement of smoke from one compartment to another. The deficient practice had the potential to affect 7 of 23 residents.
Finding:
During tour of facility on 8/6/2015 observation revealed barrier doors on new wing not closing smoke resistive.

Findings:
K46 Interior Emergency Lighting
Based on visual observation the facility failed to provide emergency lighting along the entire length of a corridor. Emergency lighting provides visual assurance where evacuation would be necessary during nighttime hours. The deficient practice had the potential to affect 7 of 7 residents.
of corridors has emergency lighting that is deficient.

Findings:

During the facility tour, on 8/6/2015 observation revealed both emergency light not working at Family Medical Clinic

Based on visual observation and record review, the facility failed to assure that the weekly inspection and monthly testing program on emergency generator was conducted and documented. In case of a power outage the emergency generator powers essential life safety equipment for the facility. The deficient practice had the potential to affect 7 of 7 residents. Finding: During the facility on 8/6/2015 observation revealed generation not maintenance type that can check specific gravity for readiness of operation