HospitalInspections.org

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all doors to patient rooms closed to form a smoke tight seal.

The finding include:

On 11/06/12 between 1:00pm and 5:00pm observation revealed that in the metal seals on door trim broken at the following locations:

a.) room 04.42224 4th floor
b.) 3rd floor soiled utilities

These findings were confirmed by staff at the time of discovery.




PEACHTREE TOWERS BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all doors to patient rooms closed to form a smoke tight seal.

The findings include:

On 11/07/12 between 8:00am and 4:00pm observation revealed that the following doors are in need of adjustment to latch properly:

a.) Door #7130 (7th floor)
b.) Door #7137 (7th floor)
c.) Door #6113 (6th floor)
d.) Door #4133 (4th floor)

On 11/07/12 between 8:00am and 4:00pm observation revealed that the following doors are in need of adjustment due to more than a half the following doors are in need of adjustment due to more than a half inch gap at the top of the door, between the door frame and door at the following locations:

a.) Door #6117 (6th floor)
b.) Door #5146 (5th floor)

These findings were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all smoke compartment doors close and latch as required.

The finding include:

On 11/06/12 and 11/07/12 observation revealed that the following smoke compartment doors were not latching properly:

a.) 5th floor at room 540H
b.) basement at room 40K

These findings were confirmed by staff at the time of discovery.

PEACHTREE TOWERS BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all smoke doors close properly.

The findings include:

On 11/07/12 between 8:00am and 4:00pm observation revealed that door #11OF had a mechanical obstruction that prevented door from self closing properly.

These findings were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all storage rooms are separated as required.

The finding include:

On 11/06/12 between 1:00pm and 5:00pm observation revealed that the following rooms were not approved to be used as storage rooms:

a.) Woodruff building 7th floor 11-06-12 at 2:17pm soiled utility room is being used as bulk storage room No. 7220.
b.) Combustible paint cans being stored in linen chute room OG.4172
c.) Storage under stairs B fl. stair 5 OB.40E

These findings were confirmed by staff at the time of discovery.

EMORY HOSPITAL MIDTOWN-BUFORD IMAGING
Based on observation and staff interviews it was determined the facility failed to ensure that the fire alarm was in accordance with NFPA 72.

The findings include:

On 11/07/12 at 1:18pm observation revealed that the fire alarm was not provided with visual alarms in the ADA restrooms in compliance with the requirement of NFPA 72.

These findings were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all rooms requiring visual alarm devices for the fire alarm are provided with them.

The findings include:

On 11/07/12 between 8:00am and 5:00pm observation revealed that the following rooms are required to have visual notification devices for the fire alarm:

a.) OG 4312 patient restroom
b.) OG 4510 patient restroom
c.) OG 4225

These findings were confirmed by staff at the time of discovery.



PEACHTREE TOWERS BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that the fire alarm was in accordance with NFPA 72.

The findings include:

On 11/07/12 between 8:00am and 4:00pm observation revealed that the following fire alarm issues were not in compliance with the requirements of NFPA 72:

a.) Bathroom #L162@3:20pm (Lobby 1st floor) no visual alarm.
b.) Bathroom #L163@3:20pm (Lobby 1st floor) no visual alarm.
c.) 1st floor Fire Alarm Panel showing trouble on the system.
d.) Room #6153A (6th floor) Smoke detector located within 3 feet of an air diffuser.
e.) Room #6177 (6th floor) Smoke detector located within 3 feet of an air diffuser.
f.) Room #4177 (4th floor) Smoke detector located within 3 feet of an air diffuser.
g.) Room #2154 (2nd floor) Smoke detector located within 3 feet of an air diffuser.
h.) Room #2155 (2nd floor) Smoke detector located within 3 feet of an air diffuser.
i.) Room #1155 (1st floor) Smoke detector located within 3 feet of an air diffuser.
j.) Room #1171A (1st floor) Smoke detector located within 3 feet of an air diffuser.

These findings were confirmed by Staff at the time of discovery.





EMORY HOSPITAL MIDTOWN CARDIO IMAGING
Based on observation and staff interviews it was determined the facility failed to ensure that the fire alarm was in accordance with NFPA 72.

The finding include:

On 11/07/12 at 12:48pm observation revealed that the fire alarm was not provided with visual alarms in the two ADA restrooms in compliance with the requirements of NFPA 72:

These finding were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all srinkler heads were installed properly.

The findings include:

On 11/07/12 observation revealed that the following sprinkler heads were in need of adjustment or repair in the following locations:

a.) 3rd floor room 03.4254
b.) 1st floor room OL.4315 sprinkler head missing
c.) basement room OB.4148A
d.) basement room OB-40M


Based on observation and staff interviews it was determined the facility failed to ensure that all escutcheon plates on sprinkler heads were installed as required.

The finding include:

On 11/06/12 and 11/07/12 observation revealed that the following escutcheon plates were missing:

a.) 2:15pm-4th floor Communications East
b.) 2:25pm 4th floor Communications Central
c.) 3:02pm-3rd floor Lobby 03.4300
d.) 9:30am- room OB.40A
e.) 9:30am-room OB 41488
f.) 9:30am-room OB 4142
g.) 9:38am-room OB 4104

These findings were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all portable fire extinguishers are provided and mounted properly.

The findings include:

On 11/06/12 between 1:00pm and 5:00pm observation revealed that in the 5th floor Physicians Dining Room.

These findings were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that portable space heaters were not in use.

The findings include:

On 11/06/12 between 1:00pm and 5:00pm observation revealed that portable space heaters were noted in the following locations:

a.) Neonathology room
b.) OG 4328

The findings were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure all vertical penetrations were sealed properly.

The findings include:

During a tour of the building with Staff M on 11/06/12 between 1:00pm and 5:00pm observation revealed that in the Woodruff Building 7th floor NET NOM closet ensure floor penetration for the wiring is not sealed properly.

During a tour of the building with Staff M on 11/06/12 between 1:00pm and 5:00pm observation revealed that in the Woodruff building 7th floor 11/06/12 at 2:26pm large penetration was noted in vertical opening stairwell door 720A.

During a tour of the building with Staff M on 11/06/12 between 1:00pm and 5:00pm observation revealed that there were holes noted in the shaft walls on 5th floor by elevator 540H.

During a tour of the building with Staff M on 11/06/12 between 1:00pm and 5:00pm observation revealed that there were holes noted in the HVAC duct room 40V on the 4th floor.

These finding were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all electrical installations complied with NFPA 70, National Electrical Code.

The finding include:

On 11/06/12 between 1:00pm and 5:00pm observation revealed that in the Woodruff Building 7th floor, portable power stripes unsecured laying on floor room 7202 Case Management.

On 11/06/12 between 1:00pm and 5:00pm observation revealed that in the 2nd floor room 02.4109 Electric room signage needs changed to Storage Room sign.

On 11/06/12 between 1:00pm and 5:00pm observation revealed that power strips need to be UL listed and mounted above the finished floor in the following locations:

a.) 5th floor Library, Media Specialist Office and Computer lab
b.) 5th floor Doctors Office by Computer lab
c.) 4th floor Reading room and Oxygen Storage room
d.) 4th floor Center for Heart Therapy room
e.) 4th floor room 04.4244
f.) 3rd floor room 03.4400
g.) 3rd floor Neonatology room
h.) 2nd floor Anesthesiology lounge
i.) ground floor room OG4402
j.) Basement room OB4101

On 11/07/12 at 9:28am room OB.4112 Life Safety Distribution panel had a void noted.

On 11/07/12 at 9:32am room OB.4113 Electric panel obstructed.

On 11/07/12 10:07am room OB.4227B Electric tray needs repair wiring exposed.

These finding were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all doors to patient rooms closed to form a smoke tight seal.

The finding include:

On 11/06/12 between 1:00pm and 5:00pm observation revealed that in the metal seals on door trim broken at the following locations:

a.) room 04.42224 4th floor
b.) 3rd floor soiled utilities

These findings were confirmed by staff at the time of discovery.




PEACHTREE TOWERS BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all doors to patient rooms closed to form a smoke tight seal.

The findings include:

On 11/07/12 between 8:00am and 4:00pm observation revealed that the following doors are in need of adjustment to latch properly:

a.) Door #7130 (7th floor)
b.) Door #7137 (7th floor)
c.) Door #6113 (6th floor)
d.) Door #4133 (4th floor)

On 11/07/12 between 8:00am and 4:00pm observation revealed that the following doors are in need of adjustment due to more than a half the following doors are in need of adjustment due to more than a half inch gap at the top of the door, between the door frame and door at the following locations:

a.) Door #6117 (6th floor)
b.) Door #5146 (5th floor)

These findings were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all smoke compartment doors close and latch as required.

The finding include:

On 11/06/12 and 11/07/12 observation revealed that the following smoke compartment doors were not latching properly:

a.) 5th floor at room 540H
b.) basement at room 40K

These findings were confirmed by staff at the time of discovery.

PEACHTREE TOWERS BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all smoke doors close properly.

The findings include:

On 11/07/12 between 8:00am and 4:00pm observation revealed that door #11OF had a mechanical obstruction that prevented door from self closing properly.

These findings were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all storage rooms are separated as required.

The finding include:

On 11/06/12 between 1:00pm and 5:00pm observation revealed that the following rooms were not approved to be used as storage rooms:

a.) Woodruff building 7th floor 11-06-12 at 2:17pm soiled utility room is being used as bulk storage room No. 7220.
b.) Combustible paint cans being stored in linen chute room OG.4172
c.) Storage under stairs B fl. stair 5 OB.40E

These findings were confirmed by staff at the time of discovery.

EMORY HOSPITAL MIDTOWN-BUFORD IMAGING
Based on observation and staff interviews it was determined the facility failed to ensure that the fire alarm was in accordance with NFPA 72.

The findings include:

On 11/07/12 at 1:18pm observation revealed that the fire alarm was not provided with visual alarms in the ADA restrooms in compliance with the requirement of NFPA 72.

These findings were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all rooms requiring visual alarm devices for the fire alarm are provided with them.

The findings include:

On 11/07/12 between 8:00am and 5:00pm observation revealed that the following rooms are required to have visual notification devices for the fire alarm:

a.) OG 4312 patient restroom
b.) OG 4510 patient restroom
c.) OG 4225

These findings were confirmed by staff at the time of discovery.



PEACHTREE TOWERS BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that the fire alarm was in accordance with NFPA 72.

The findings include:

On 11/07/12 between 8:00am and 4:00pm observation revealed that the following fire alarm issues were not in compliance with the requirements of NFPA 72:

a.) Bathroom #L162@3:20pm (Lobby 1st floor) no visual alarm.
b.) Bathroom #L163@3:20pm (Lobby 1st floor) no visual alarm.
c.) 1st floor Fire Alarm Panel showing trouble on the system.
d.) Room #6153A (6th floor) Smoke detector located within 3 feet of an air diffuser.
e.) Room #6177 (6th floor) Smoke detector located within 3 feet of an air diffuser.
f.) Room #4177 (4th floor) Smoke detector located within 3 feet of an air diffuser.
g.) Room #2154 (2nd floor) Smoke detector located within 3 feet of an air diffuser.
h.) Room #2155 (2nd floor) Smoke detector located within 3 feet of an air diffuser.
i.) Room #1155 (1st floor) Smoke detector located within 3 feet of an air diffuser.
j.) Room #1171A (1st floor) Smoke detector located within 3 feet of an air diffuser.

These findings were confirmed by Staff at the time of discovery.





EMORY HOSPITAL MIDTOWN CARDIO IMAGING
Based on observation and staff interviews it was determined the facility failed to ensure that the fire alarm was in accordance with NFPA 72.

The finding include:

On 11/07/12 at 12:48pm observation revealed that the fire alarm was not provided with visual alarms in the two ADA restrooms in compliance with the requirements of NFPA 72:

These finding were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all srinkler heads were installed properly.

The findings include:

On 11/07/12 observation revealed that the following sprinkler heads were in need of adjustment or repair in the following locations:

a.) 3rd floor room 03.4254
b.) 1st floor room OL.4315 sprinkler head missing
c.) basement room OB.4148A
d.) basement room OB-40M


Based on observation and staff interviews it was determined the facility failed to ensure that all escutcheon plates on sprinkler heads were installed as required.

The finding include:

On 11/06/12 and 11/07/12 observation revealed that the following escutcheon plates were missing:

a.) 2:15pm-4th floor Communications East
b.) 2:25pm 4th floor Communications Central
c.) 3:02pm-3rd floor Lobby 03.4300
d.) 9:30am- room OB.40A
e.) 9:30am-room OB 41488
f.) 9:30am-room OB 4142
g.) 9:38am-room OB 4104

These findings were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all portable fire extinguishers are provided and mounted properly.

The findings include:

On 11/06/12 between 1:00pm and 5:00pm observation revealed that in the 5th floor Physicians Dining Room.

These findings were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that portable space heaters were not in use.

The findings include:

On 11/06/12 between 1:00pm and 5:00pm observation revealed that portable space heaters were noted in the following locations:

a.) Neonathology room
b.) OG 4328

The findings were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure all vertical penetrations were sealed properly.

The findings include:

During a tour of the building with Staff M on 11/06/12 between 1:00pm and 5:00pm observation revealed that in the Woodruff Building 7th floor NET NOM closet ensure floor penetration for the wiring is not sealed properly.

During a tour of the building with Staff M on 11/06/12 between 1:00pm and 5:00pm observation revealed that in the Woodruff building 7th floor 11/06/12 at 2:26pm large penetration was noted in vertical opening stairwell door 720A.

During a tour of the building with Staff M on 11/06/12 between 1:00pm and 5:00pm observation revealed that there were holes noted in the shaft walls on 5th floor by elevator 540H.

During a tour of the building with Staff M on 11/06/12 between 1:00pm and 5:00pm observation revealed that there were holes noted in the HVAC duct room 40V on the 4th floor.

These finding were confirmed by Staff at the time of discovery.

WOODRUFF BUILDING
Based on observation and staff interviews it was determined the facility failed to ensure that all electrical installations complied with NFPA 70, National Electrical Code.

The finding include:

On 11/06/12 between 1:00pm and 5:00pm observation revealed that in the Woodruff Building 7th floor, portable power stripes unsecured laying on floor room 7202 Case Management.

On 11/06/12 between 1:00pm and 5:00pm observation revealed that in the 2nd floor room 02.4109 Electric room signage needs changed to Storage Room sign.

On 11/06/12 between 1:00pm and 5:00pm observation revealed that power strips need to be UL listed and mounted above the finished floor in the following locations:

a.) 5th floor Library, Media Specialist Office and Computer lab
b.) 5th floor Doctors Office by Computer lab
c.) 4th floor Reading room and Oxygen Storage room
d.) 4th floor Center for Heart Therapy room
e.) 4th floor room 04.4244
f.) 3rd floor room 03.4400
g.) 3rd floor Neonatology room
h.) 2nd floor Anesthesiology lounge
i.) ground floor room OG4402
j.) Basement room OB4101

On 11/07/12 at 9:28am room OB.4112 Life Safety Distribution panel had a void noted.

On 11/07/12 at 9:32am room OB.4113 Electric panel obstructed.

On 11/07/12 10:07am room OB.4227B Electric tray needs repair wiring exposed.

These finding were confirmed by Staff at the time of discovery.