HospitalInspections.org

Based on record review and interview, the facility failed to maintain smoke detectors.

The findings include:

Record review and interview with the maintenance director on May 21, 2013 at 10:36 a.m. revealed that smoke detectors have no test report showing that they have been tested for sensitivity.

This finding was verified and acknowledged by the maintenance director during the exit conference on May 21, 2013.

Based on record review and interview, the facility failed to service the automatic sprinkler system.

The findings include:

Record review and interview with the maintenance director on May 21, 2013 at 10:50 a.m. revealed that the automatic sprinkler system has not been serviced quarterly.

This finding was verified and acknowledged by the maintenance director during the exit conference on May 21, 2013.

Based on observation, the facility failed to install piped in medical gas correctly.

The findings include:

Based on observation on May 21, 2013 at 1:45 p.m. revealed that throughout the facility above ceiling the piped in medical gas hangers were not of a copper finish or an approved insulated piece touching the medical gas lines.

This finding was verified and acknowledged by the maintenance director during the exit conference on May 21, 2013.

Based on record review and interview, the facility failed to maintain smoke detectors.

The findings include:

Record review and interview with the maintenance director on May 21, 2013 at 10:36 a.m. revealed that smoke detectors have no test report showing that they have been tested for sensitivity.

This finding was verified and acknowledged by the maintenance director during the exit conference on May 21, 2013.

Based on record review and interview, the facility failed to service the automatic sprinkler system.

The findings include:

Record review and interview with the maintenance director on May 21, 2013 at 10:50 a.m. revealed that the automatic sprinkler system has not been serviced quarterly.

This finding was verified and acknowledged by the maintenance director during the exit conference on May 21, 2013.

Based on observation, the facility failed to install piped in medical gas correctly.

The findings include:

Based on observation on May 21, 2013 at 1:45 p.m. revealed that throughout the facility above ceiling the piped in medical gas hangers were not of a copper finish or an approved insulated piece touching the medical gas lines.

This finding was verified and acknowledged by the maintenance director during the exit conference on May 21, 2013.