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The facility failed to ensure the construction type of the Wishek Hospital meets the required building construction in Chapter 19.

During the revisit, observation determined the one-hour fire rated ceilings had multiple unsealed spaces.

The facility failed to provide corridors that were separated from use areas by walls with at least ? hour fire resistance rating.

During the revisit, observation determined the basement and first floor corridor walls had multiple through-wall pipe, data cable, conduit, and duct penetrations that were not sealed with fire rated material installed according to the manufacturer's instructions.

1) Exits, other than main exterior exit doors that obviously and clearly are identifiable as exits, shall be marked by an approved sign readily visible from any direction of exit access.Observation determined the east exit door had no exit sign.2) A sign with a directional indicator showing the direction of travel must be placed in every location where the direction of travel to reach the nearest exit is not apparent.Observation determined no directional exit signs were installed at locations in the corridor to indicate the direction of travel to reach the nearest exit.
3) Portable fire extinguishers must be installed to ensure they are not be obstructed or obscured from view. NFPA 10, Standard for Portable Fire Extinguishers. Observation determined the portable fire extinguisher for the lobby area was located on the counter by the sink in the Reception Room.4) When electrical hazards are identified, measures to abate such conditions shall be taken. NFPA 70, National Electrical Code.

Observation determined:

a) An adapter was in use in the Staff Kitchen to connect the refrigerator cord to the receptacle.
b) The electrical receptacle adjacent to the sink in the Staff Kitchen did not have ground fault circuit interrupter protection.