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Based on observations, the facility failed to maintain smoke doors to close and resist the passage of smoke. The smoke doors affected two of the eight smoke compartments on the first floor. The facility has 25 certified beds and at the time of the survey the census was 19.

Findings include:

Observations on 8/31/10 and during the revisit on 12/02/10, revealed that while testing the smoke doors, the smoke doors by the Pharmacy did not close and latch properly.

Based on observation, the facility is not providing an electrically supervised valve for the part of the sprinkler system in the Kitchen. In the event that the water supply is turned off at this valve, an alarm will not notify the occupants of the building of the trouble. This deficient practice effects all staff, visitors and residents, in this facility with a capacity of 25 and at the time of the survey had a census of 19.

Findings include:

Observations on 8/31/10, revealed the valve for the antifreeze loop for the sprinkler piping to the loading dock was not equipped with a tamper switch that was electrically supervised to sound an alarm. In the event that the water supply was turned off at this valve, an alarm would not notify the building occupants or the fire alarm monitoring company of the trouble.

Observations on 12/02/10, revealed a new tamper switch had been installed but wiring of the valve had not been completed at the time of the revisit.