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Based on observation and testing, the facility failed to provide shaft partitions that have a fire resistance rating of at least one hour.

Findings Include:

While inspecting vertical openings on July 05, 2012, the surveyor and Maintenance Supervisor observed deficient items in the following vertical shafts:

1) Elevator shafts #4 and #5 have open penetrations on all floors.

The Maintenance Supervisor and the Administrator were notified during the exit conference.

This deficient practice has the potential of effecting the entire facility.

Based on observation and testing, the facility failed to provide a properly tested and maintained fire alarm system. This condition affected 100% of the residents and staff as all smoke compartments were affected. NFPA 72 Section 1-5.6

Findings Include:

On July 05, 2012, the maintenance supervisor and surveyor observed that all emergency strobes lights need to be synchronized on all floors.

The maintenance supervisor and the administrator were notified during an exit conference.