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RIDGEVIEW LESUEUR MEDICAL CENTER
No Description Available
Tag No.: K0050
Based on documentation review and staff interview, the facility failed to assure fire drills were conducted once per shift per quarter for all staff under varying times and conditions as required by 2000 NFPA 101, Section 19.7.1.2. This deficient practice could affect all 1 patient
Findings include:
On facility tour between 1:00 PM and 3:00 PM on 09/10/2013, the review of the fire drill documentation for the past 12 months (September 2012 to August 2013) revealed the drills for the following shift were completed but did not sufficiently vary the times that the drills were conducted:
Night Shift: 0630, 0330, 0330 and 0630
This deficient practice was confirmed by the Director of Maintenance (RL) at the time of discovery.
*TEAM COMPOSITION*
Gary Schroeder, Life Safety Code Spc.
LIFE SAFETY CODE STANDARD
Tag No.: K0050
Based on documentation review and staff interview, the facility failed to assure fire drills were conducted once per shift per quarter for all staff under varying times and conditions as required by 2000 NFPA 101, Section 19.7.1.2. This deficient practice could affect all 1 patient
Findings include:
On facility tour between 1:00 PM and 3:00 PM on 09/10/2013, the review of the fire drill documentation for the past 12 months (September 2012 to August 2013) revealed the drills for the following shift were completed but did not sufficiently vary the times that the drills were conducted:
Night Shift: 0630, 0330, 0330 and 0630
This deficient practice was confirmed by the Director of Maintenance (RL) at the time of discovery.
*TEAM COMPOSITION*
Gary Schroeder, Life Safety Code Spc.