HospitalInspections.org

Based on observation and interview, the facility failed to provide readily accessible exit access as required.
Findings include:
On May 24, 2017 the exit access was inspected. Exit access doors were not readily accessible, this occurred at the following doors:

The door to the Lab Storage Room had hasp with padlock which was not operable from the egress side of the door.

Failure to provide readily accessible exit access as required increases the risk of death or injury due to fire.
The deficiency has the potential to affect 2 staff and an unknown number of visitors.
Ref: 2012 NFPA 101 Section 19.2.

Based on observation and interview, the facility failed to provide emergency egress lighting.
Findings include:
On May 24, 2017 the emergency egress lighting was inspected:

a. The emergency lights in the old OR area were inoperable in test mode.
b. The emergency lights in the Physical Therapy Suite were inoperable in test mode.

The staff acknowledged the findings when the deficiencies were identified.
Failure to provide emergency lighting as required increases the risk of death or injury due to fire.
The deficiency has the potential to affect 2 patients, staff and an unknown number of visitors.
Ref: 2012 NFPA 101 Section 19.2.8.

Based on observation and interview, the facility failed to maintain the automatic fire sprinkler system.
Findings include:
On May 24, 2017 the automatic fire sprinkler system was inspected:

The waterflow switch in Medical Records area in basement was inoperable and partially dismantled.

The staff acknowledged the findings when the deficiencies were identified.
Failure to provide sprinkler system supervision as required increases the risk of death or injury due to fire.
The deficiency has the potential to affect all patients, staff and an unknown number of visitors.
Ref: 2012 NFPA 101 Section 9.7.2.1.

Based on observation and interview, the facility failed to maintain corridor doors.
Findings include:
On May 24, 2017 the doors leading to corridors were inspected:

a. The door to the Nursery has holes bored through where door hardware previously installed and removed.

b. The fire door to the Instrument Wash Room is split (dutch) with upper leaf not latching.

Staff acknowledged the findings when the deficiencies were identified.
Failure to provide protection with doors leading to corridors as required increases the risk of death or injury due to fire.
The deficiency has the potential to affect all patients, staff and an unknown number of visitors.
Ref: 2012 NFPA 101 Section 19.3.6.3.

Based on observation and interview, the facility failed to maintain heating devices.
Findings include:
On May 24, 2017 heating applicances were inspected:

Non-Patient care rooms 104, 107, 108, and 109 utilizing unapproved heaters with exposed heating elements and exceed 212 degree maximum allowance.

The staff acknowledged the findings when the deficiencies were identified.
Failure to provide proper heating units as required increases the risk of death or injury due to fire.
The deficiency has the potential to affect all patients, staff and an unknown number of visitors.
Ref: 2012 NFPA 101 Section 19.5.2.2.

Based on observation and interview, the facility failed to maintain laundry chutes.
Findings include:
On May 24, 2017 laundry chutes were inspected:

The laundry chute in the main corridor requires permanent cover (no longer in use).

The staff acknowledged the findings when the deficiencies were identified.
Failure to provide protection for laundry chutes as required increases the risk of death or injury due to fire.
The deficiency has the potential to affect all patients, staff and an unknown number of visitors.
Ref: 2012 NFPA 101 Section 19.5.4.

Based on observation and interview, the facility failed to maintain operating features.
Findings include:
On May 24, 2017 the automatic fire sprinkler system was inspected:

The secondary fuel line to the boiler was disconnected/damaged and needs repaired.

The staff acknowledged the findings when the deficiencies were identified.
Failure to maintain operating features as required increases the risk of death or injury due to fire.
The deficiency has the potential to affect all patients, staff and an unknown number of visitors.
Ref: 2012 NFPA 101 Section 19.7.

Based on observation and interview, the facility failed to maintain the electrical equipment.
Findings include:
On May 24, 2017 electrical equipment was inspected:

Household extension cords were in use in ER employee lounge (1) and in 1st floor non-patient care room (2).

The staff acknowledged the findings when the deficiencies were identified.
Failure to maintain electrical equipment as required increases the risk of death or injury due to fire.
The deficiency has the potential to affect all patients, staff and an unknown number of visitors.
Ref: NFPA 99 Section 10.2.3.6., NFPA 70 400-8