HospitalInspections.org

Based upon observations and staff interviews on 6/18-6/21/2018 between approximately 0800 to 1600 hours the facility has failed to maintain records of testing for the emergency battery backup lighting. This could result in the failure of the battery powered backup lighting in the event of a power outage and render the means of egress dark. This could result in tripping and fall injuries to patients, staff and/or visitors.

The findings include, but are not limited to:


1. In the generator room at the Redmond ER there is no emergency task lighting that would illuminate the area for a minimum of 90 minutes.


The above was discussed and acknowledged by the facility staff.

Based on observation and staff interview on 6/18-6/21/2018 between approximately 0800 to 1600 hours the facility has failed to maintain the fire alarm system which result in the failure to notify staff of a problem with the fire alarm system. This could lead to the system not functioning as intended and lead to people within the building not being notified of a fire.

The findings include, but are not limited to:


1. The fire alarm panel #N14 was found in trouble mode and indicated a dirty head in red 1 exam 4. Fixed at the time of survey.

The above was discussed and acknowledged by the facility staff.

Based on observation and staff interview on 6/18-6/21/2018 between approximately 0800 to 1600 hours the facility failed to maintain their fire extinguishers in accordance with NFPA 10. This potentially delays a quick response to contain a fire from spreading which could expose and endanger residents, staff, and/or visitors within the facility.

The findings include, but are not limited to:

1. The fire extinguisher in the ED break room by the vending machine is in the recharge zone. Fixed at time of survey.

The above was discussed and acknowledged by the facility staff.

Based on observation and staff interview on 6/18-6/21/2018 between approximately 0800 to 1600 hours the facility has failed to maintain doors without impediments to their closing and latching. This could result in a delay in getting the door to the room closed in the event of a fire. This could result in toxic products of combustion getting into the room and into the exit corridor which would endanger the residents, staff and/or visitors within the smoke compartment.

The findings include, but are not limited to:

1. Elevator next to 3- 110 fire door not closing properly. Fixed at time of inspection.

2. Blue elevators second floor right side fire door not latching. Fixed at time of inspection.

3. First floor blue elevators both fire doors not closing properly. Fixed at time of inspection.

4. Exit 2 stairs 2-153 door not closing. Fixed at time of inspection.

5. Elevator BR seven door not closing properly.

6. Corridor doors next to B - 206 not shutting properly.

The above was discussed and acknowledged by the facility staff.

Based on observation and staff interview on 6/18-21/2018 between approximately 0800 to 1600 hours the facility has failed to properly maintain fire/smoke barriers within the facility as capable of resisting the passage of smoke. This could result in the products of combustion traveling from one smoke compartment to another which would endanger the residents, staff, and/or visitors within the facility.

The findings include, but are not limited to:

1. Smoke doors not closing correctly 1- 12 to fix it time inspection.

2. Cross Corridor doors by 1-146 not latching east side door.


The above was discussed and acknowledged by the facility staff.

Based on observation and staff interview on 6/18-6/21/2018 between approximately 0800 to 1600 hours the facility has failed to maintain the emergency generator in accordance with NFPA 110. This could result in a failure of the emergency power system which would leave the facility without egress and task lighting in the event of a power failure which would endanger the residents, staff, and/or visitors within the facility.

The findings include, but are not limited to:

1. There is no remote emergency stop switch for the Redmond generator.

The above was discussed and acknowledged by the facility staff.

Based on observation and staff interview on 6/18-6/21/2018 between approximately 0800 to 1600 hours the facility failed to restrict the use of extension cords and non-approved power strips in their facility. This could endanger people in the facility due to the increased fire risk.

The findings include, but are not limited to:

1. Room 4-131 coffee maker plugged in the power strip. Fixed at time of inspection.

2. Extension cord in use in room 3-116. Fixed at time of inspection.

3. Extension cord in use in room 3- 124. Fixed at time of inspection.

4. Toaster, microwave, and coffee maker plugged into power strip in room 3-137. Fixed at time of inspection.

5. Power strips daisy-chained in room 2-104. Fixed at time of inspection.

6. Extension cord in use in room 2-156.2. Fixed at time of inspection.

7. Power strips daisy-chained in room 2-111. Fixed at time of inspection.

8. Extension cord in use in room 1.126. Fixed at time of inspection.

9. Microwave, toaster, and refrigerator plugged into power strip in room 1.126. Fixed at time of inspection.

10. Power strips daisy-chained in room 1-102.3. Fixed at time of inspection.

11. Power strips daisy-chained in room 1-1 46.6. Fixed at time of inspection.

12. Microwave plugged into power strip room 1-1 46.6. Fixed at time of inspection.

13. Extension cord and use in B - 116. Fixed at time of inspection.

14. Microwave and refrigerator plugged into power strip in room B - 116. Fixed at time of inspection.

15. Power strips daisy-chained in B-375. Fixed at time of inspection.

16. Power strips daisy-chained in B-373. Fixed at the time of inspection.

17. Power strips daisy-chained in B-510. Fixed at the time of inspection.

18. Extension cord in use in room 1-508

19. Power strips daisy-chained room 1-354. Fixed at time of inspection.

20. Power strips daisy-chained in room 1-3 83.9. Fixed at time of inspection.

21. Extension cord plugged into a power strip in office #4241. Fixed at time of inspection.

22. Coffee maker plugged into a power strip 4-260. Fixed at time of inspection.

23. Power strips plugged together in room 3-374 Purple. Fixed at time of inspection.


The above was discussed and acknowledged by the facility staff.