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Tag No.: K0052
Based on observation and staff interview, the facility failed to install the fire alarm system in accordance with 1999 NFPA 72 2-3.5.1. This deficient practice could effect all patients.
Findings include:
On facility tour between the hours of 11:00 AM and 2:00 PM on 09/29/2015, observation revealed that there was a smoke detector located within 36 inches of the HVAC diffuser in Room F123.
This deficient practice was verified by the Maintenance Supervisor at the time of the inspection.
Tag No.: K0076
Based on observation and staff interview, the facility did not properly secure the oxygen cylinders in accordance with 1999 NFPA 99 4-3.5.2.1. This deficient practice could affect all patient.
Findings include:
On facility tour between the hours of 11:00 AM and 2:00 PM on 09/29/2015, it was observed that the "H" Type cylinders in the oxygen room were not individually secured.
This deficient practice was verified by the Maintenance Supervisor at the time of the inspection.