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Based on observations the facility failed to provide the required 30 minute fire resistance rating for smoke barrier walls in accordance with 19.3.7.3, 19.1.6.3, 19.1.6.4. This condition has the potential to affect about 50% of the residents and staff.

Finding include:

While inspecting smoke barrier walls on February 4, 2014 at 10:30 a.m. the maintenance supervisor and the surveyor observed the smoke barrier walls had the following unsealed penetrations:
1. Penetration around wiring above the Smoke Barrier doors entering the hospital side of the building.
2. The smoke barrier wall in the Administrator Office had a 1' x1' penetration.

This deficient practice has the potential of affecting 3 of 6 smoke compartments. The administrator and maintenance director were notified during the survey and in the exit conference.

Based on observations, the facility failed to provide clear and unobstructed means of egress as directed in NFPA 101 chapter 7.1.10.1. This deficiency had the potential to affect 100% of the residents and staff.

Findings include:

While inspecting means of egress on February 4, 2014 at 11:00 a.m., the maintenance person and the surveyor found that 1 of the 3 required Exits were partially blocked with a hospital bed. This deficient practice has the potential of affecting 3 of 6 smoke compartments. The administrator and maintenance director were notified during the survey and in the exit conference.

Based on observations the facility failed to provide the required 30 minute fire resistance rating for smoke barrier walls in accordance with 19.3.7.3, 19.1.6.3, 19.1.6.4. This condition has the potential to affect about 50% of the residents and staff.

Finding include:

While inspecting smoke barrier walls on February 4, 2014 at 10:30 a.m. the maintenance supervisor and the surveyor observed the smoke barrier walls had the following unsealed penetrations:
1. Penetration around wiring above the Smoke Barrier doors entering the hospital side of the building.
2. The smoke barrier wall in the Administrator Office had a 1' x1' penetration.

This deficient practice has the potential of affecting 3 of 6 smoke compartments. The administrator and maintenance director were notified during the survey and in the exit conference.

Based on observations, the facility failed to provide clear and unobstructed means of egress as directed in NFPA 101 chapter 7.1.10.1. This deficiency had the potential to affect 100% of the residents and staff.

Findings include:

While inspecting means of egress on February 4, 2014 at 11:00 a.m., the maintenance person and the surveyor found that 1 of the 3 required Exits were partially blocked with a hospital bed. This deficient practice has the potential of affecting 3 of 6 smoke compartments. The administrator and maintenance director were notified during the survey and in the exit conference.