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PEACHFORD BEHAVIORAL HEALTH SYSTEM OF ATLANTA
FORM AND RETENTION OF RECORDS
Tag No.: A0438
Based on review of facility policies and procedures, facility tour, and staff interviews, it was determined that the facility failed to properly and securely store patient medical records.
Findings were:
Review of facility policy, entitled Safekeeping of the Medical Record, Policy No. IM.39, last reviewed/revised 7/10, revealed that all file storage areas were equipped with water sprinklers, and that files would be kept in sturdy manila folders to protect them from damage.
During a facility tour at 10:00 a.m. on 10/28/2010, observation revealed numerous patient files stacked on the floor in several areas of the medical records department.
While on the tour, the medical records supervisor (interview # 1) stated that the medical records department was small, and that with the increased patient admissions, it was becoming more difficult to store the medical records.
PHYSICAL ENVIRONMENT
Tag No.: A0700
Based on observations during facility tour, review of facility inspection records, and staff interview, it was determined that the facility failed to ensure that the hospital was constructed, arranged, and maintained to ensure the safety of patients and staff.
Findings were:
Cross-refer to A-701 as it relates to failure of the facility to maintain all hospital systems and the physical plant; and
Cross refers to A-710 as it relates to failure of the facility to meet the Life Safety Code requirements of the National Fire Protection Association (NFPA).
MAINTENANCE OF PHYSICAL PLANT
Tag No.: A0701
Base of observations and staff interview, it was determined that the facility failed to ensure that the physical plant and overall hospital environment was maintained to ensure the safety and well-being of all patients.
Findings were:
Cross-refer to Life Safety Code K-017 as it relates to failure of the facility to ensure that corridor and fire barrier penetrations were sealed.
LIFE SAFETY FROM FIRE
Tag No.: A0710
Based on observation and staff interview, it was determined that the facility failed to comply with all requirements of the Life Safety Code of the National Fire Protection Association.
Findings were:
Cross-refer to Life Safety Code K-017 as it relates to failure of the facility to ensure that corridor and fire barrier penetrations were sealed.