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NESHOBA COUNTY GENERAL HOSPITAL
Egress Doors
Tag No.: K0222
Based on observation, the facility failed to properly maintain exit egress as directed by NFPA 101 section 19.2.2.2.4. This deficiency practice had the potential to affect the entire facility on the day of survey.
Findings include:
Observations on September 18, 2017 at 11:20 AM revealed the egress from doors on the 2nd and 3rd Floor of the Old Hospital was installed with double keyed dead bolt locks, hasp and locks. These doors on the 2nd and 3rd Floor were not labeled with room identification.
Doors with Self-Closing Devices
Tag No.: K0223
Based on observations and testing, the facility failed to properly maintain door openings in stairway enclosures as per NFPA 101 section 2.2.2.7. This deficiency practice had the potential to affect the entire facility on the day of survey.
Findings include:
Observations on September 18, 2017 at 11:25 AM revealed the stairwell door to the elevator penthouse did not have an automatic closing device installed.
Aisle, Corridor, or Ramp Width
Tag No.: K0232
Based on observation, the facility failed to provide clear and unobstructed corridors as directed by NFPA 101 section 19.2.3.4. This deficiency practice had the potential to affect the entire facility on the day of survey.
Findings include:
On September 17, 2017 at 11:15 AM, observation revealed the exit corridors on the 2nd Floor near the Wound Care Area were blocked by unused beds and carts. These beds and carts were improperly stored in the corridor.
Portable Fire Extinguishers
Tag No.: K0355
Based on observations and interviews, the facility failed to properly inspect fire extinguishers as per NFPA 10 section 7.2.1.2. This deficiency practice had the potential to affect the entire facility on the day of survey.
Findings include:
On September 17, 2017 between 11:00 AM and 2:00 PM, observation revealed the following fire extinguishers in the facility were missing the monthly inspection:
1. Fire extinguisher in the Old Boiler Room,
2. Fire extinguisher in the Elevator Penthouse,
3. Fire extinguisher near Room 401 on the 4th Floor
4. Fire extinguisher near Room 3rd floor by 3201
5. Fire extinguisher in the Elevator Equipment Room
The maintenance person confirmed these extinguishers were missed during their monthly rounds.
Corridor - Doors
Tag No.: K0363
Based on observation and testing, the facility failed to properly protect corridor openings as directed by NFPA 101 section 19.3.6.3.4. This deficiency practice had the potential to affect the entire facility on the day of survey.
Findings include:
Observations on September 18, 2017 at 10:20 AM revealed the clearance at the bottom of the north hall stairway door of the door was greater than one (1) inch. The clearance door in a stairwell shall be less than one (1) inch.