HospitalInspections.org

Based on observation, testing, and interview, the provider failed to provide egress doors as required at randomly observed locations (south entrance and Emergency Department entrance). Findings include:

1. Observation on 4/29/25 at 1:12 p.m. revealed the sliding portion of the exterior exit door at the south entrance was equipped with mechanical lock hardware that could prevent immediate use of the means of egress in an emergency. Testing of that lock revealed it operated with a thumb latch like a dead bolt however the bolt of the lock would hook into the doorframe. The breakaway function of that sliding door was disabled once that lock was deployed.

2. Observation on 4/29/25 at 1:19 p.m. revealed the sliding portion of the exterior exit door at the south entrance was equipped with mechanical lock hardware that could prevent immediate use of the means of egress in an emergency. Testing of that lock revealed it operated with a thumb latch like a dead bolt however the bolt of the lock would hook into the doorframe. The breakaway function of that sliding door was disabled once that lock was deployed.

Interview with the plant operations manager at that same time as the observation confirmed those conditions. He stated he had started within the last two months and was not aware those locks created an issue.

Failure to provide egress doors as required increases the risk of death or injury due to fire.

Ref: 2012 NFPA 101 Section 19.2.2.2.4, 7.2.1.6.2