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Based on observation and interview, the provider failed to maintain the fire-resistive characteristics of the two hour fire-resistive wall between the hospital and the multi-purpose building. Findings include:

1. Observation at 3:15 p.m. revealed the 90 minute door in the two-hour wall between the nursing home and the clinic did not automatically close upon activation of the hospital's automatic fire alarm system. That door provides the required fire-resistive separation between the hospital and the multi-purpose building. Interview with the maintenance supervisor at the time of the observation revealed he was aware of that requirement as a similar situation had recently been cited during a survey in the nursing home on 3/4/10.

Based on observation, testing, and interview, the provider failed to maintain the smoke tight rating of corridor wall assemblies. Two randomly observed doors (emergency room and endoscopy suite) to the corridor would not close and latch. Findings include:

1. Observation and testing at 2:29 p.m. revealed the west door from the emergency room to the corridor would not latch into the door frame upon closing when tested. Interview with the maintenance supervisor at the time of the observation confirmed that condition. The maintenance supervisor corrected that condition before the end of the survey.

2. Observation and testing at 2:40 p.m. revealed the door from the endoscopy suite to the corridor would not latch into the door frame upon closing when tested. Interview with the maintenance supervisor at the time of the observation confirmed that condition. The maintenance supervisor corrected that condition before the end of the survey.

Based on observation, testing, and interview, the provider failed to furnish electrical wiring in accordance with NFPA 70. Four randomly observed outlets (prep sink outlets and the outlet to the right of the handwashing sink) were installed within six feet of a water sources without ground fault circuit interrupt (GFCI) protection in the kitchen. Findings include:

1. Observation at 10:01 a.m. revealed three outlets within six feet of the prep sink in the kitchen. Testing of those outlets revealed they were not equipped with GFCI protection. Interview with the maintenance supervisor at the time of observation confirmed that condition. He stated he was unaware those outlets did not have GFCI protection.

2. Observation at 10:09 a.m. revealed an outlet within six feet of the hand washing sink in the kitchen. Testing of that outlet revealed it was not equipped with GFCI protection. Interview with the maintenance supervisor at the time of observation confirmed that condition. He stated he was unaware that outlet did not have GFCI protection.

Based on observation and interview, the provider failed to maintain the fire-resistive characteristics of the two hour fire-resistive wall between the hospital and the multi-purpose building. Findings include:

1. Observation at 3:15 p.m. revealed the 90 minute door in the two-hour wall between the nursing home and the clinic did not automatically close upon activation of the hospital's automatic fire alarm system. That door provides the required fire-resistive separation between the hospital and the multi-purpose building. Interview with the maintenance supervisor at the time of the observation revealed he was aware of that requirement as a similar situation had recently been cited during a survey in the nursing home on 3/4/10.

Based on observation, testing, and interview, the provider failed to maintain the smoke tight rating of corridor wall assemblies. Two randomly observed doors (emergency room and endoscopy suite) to the corridor would not close and latch. Findings include:

1. Observation and testing at 2:29 p.m. revealed the west door from the emergency room to the corridor would not latch into the door frame upon closing when tested. Interview with the maintenance supervisor at the time of the observation confirmed that condition. The maintenance supervisor corrected that condition before the end of the survey.

2. Observation and testing at 2:40 p.m. revealed the door from the endoscopy suite to the corridor would not latch into the door frame upon closing when tested. Interview with the maintenance supervisor at the time of the observation confirmed that condition. The maintenance supervisor corrected that condition before the end of the survey.

Based on observation, testing, and interview, the provider failed to furnish electrical wiring in accordance with NFPA 70. Four randomly observed outlets (prep sink outlets and the outlet to the right of the handwashing sink) were installed within six feet of a water sources without ground fault circuit interrupt (GFCI) protection in the kitchen. Findings include:

1. Observation at 10:01 a.m. revealed three outlets within six feet of the prep sink in the kitchen. Testing of those outlets revealed they were not equipped with GFCI protection. Interview with the maintenance supervisor at the time of observation confirmed that condition. He stated he was unaware those outlets did not have GFCI protection.

2. Observation at 10:09 a.m. revealed an outlet within six feet of the hand washing sink in the kitchen. Testing of that outlet revealed it was not equipped with GFCI protection. Interview with the maintenance supervisor at the time of observation confirmed that condition. He stated he was unaware that outlet did not have GFCI protection.