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MERCY HOSPITAL JEFFERSON
No Description Available
Tag No.: K0020
Based on observation and interview the facility failed to maintain at least a one hour separation between a hazardous area and a patient corridor. This deficient practice affects all patients and staff in one of two smoke compartments on the fifth floor. The facility census was 146.
Findings included:
Observation, during a tour of the facility conducted on the morning of 02/07/12 at 9:14 AM, showed a door to a room containing a dumbwaiter, a hazardous area, was not provided with an automatic door closure on the 5th floor Rehabilitation Unit.
Staff T, Vice President of Facilities and Support Services, confirmed at that time the door did not have an automatic closure device provided to keep the door closed and provide a separation between the hazardous area and the patient corridor.
Chapter 19.3.2.1 of the 2000 Edition of the Life Safety Code published by the National Fire Protection Association (NFPA 101) states any hazardous areas shall be safeguarded by a fire barrier having a 1-hour fire resistance rating or shall be provided with an automatic extinguishing system in accordance with 8.4.1. The automatic extinguishing shall be permitted to be in accordance with 19.3.5.4. Where the sprinkler option is used, the areas shall be separated from other spaces by smoke-resisting partitions and doors. The doors shall be self-closing or automatic-closing.
No Description Available
Tag No.: K0077
Based on observation and interview the facility failed to ensure all portable medical gas cylinders were individually secured. This deficient practice affects the operation of the facility. The facility census was 146.
Findings included:
Observation, during a tour of the facility conducted on the morning of 02/07/12 at 11:20 AM, showed approximately 30 " H " size portable medical gas cylinders not individually secured in a chained area on the outside of the facility.
Staff T, Vice President of Facilities and Support Services, confirmed at that time the portable medical gas cylinders were not individually secured.
Chapter 5.1.3.3.2 of the 2002 Edition of the Life Safety Code published by the National Fire Protection Association (NFPA 99) states that locations for the central supply systems and the storage of medical gas shall meet the following requirements: (7) be provided with racks, chains or other fastenings to individually secure all cylinders, whether connected, unconnected, full, or empty from falling.