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Based on visual observations and interview with facility engineer the facility failed to maintain a fire barrier of at least two-hour between nonconforming building. The deficient practice had the potential to affect 9 floors where the medical office building connect.

Findings:

During the facility tour on 12/1-15/2010, between the hours of 8:30am and 4:30pm, it was observed that there was no fire barrrie separation between the medical office building and hospital the medical office building is a non conforming building that dose not meet healthcare requirements for life safety code. The Life Safety Code 2000 existing, Which this facility is inspected under require a two-hour fire barrier separate the two.

Based on visual observations the facility failed to maintain barrier doors that self-close and latch in their frames . The deficient practice had the potential to affect 4 of 8 smoke barriers, and approximally 25 patients.

Findings:

During the facility tour on 2/1-15/2010, between the hours of 8:30am and 4:30pm, it was observed that barrier doors on 3rd floor labor and delivery and 2nd floor NICU barrier doors did not have latching hardware on them,which these doors unable of self-closing and latching in their frames.

Based on visual observations the facility failed to maintain barrier doors that self-close and latch in their frames. The deficient practice had the potential to affect 4 of 8 barriers, and approximately 18 patients.

Findings:

During the facility tour on 2/1-15/2010, between the hours of 8:30am and 4:30pm, it was observed that 1st floor surgery and MRI barrier doors in basement did not have latching hardware, which will not allow these doors to self-close and latch in there frames.

Based on visual observations the facility failed to maintain heating,ventilating, and air conditioning comply whit this standard. The deficient practice had the potential to affect 10 patients .

Findings:

During the facility tour on 2/1-15/2010, between the hours of 8:00am and 4:30pm , it was observed that the corridor 1st floor in outpatient's clinical rehab /physical therapy being used for return air plenum.

Based on visual observations and interview with facility engineer the facility failed to maintain a fire barrier of at least two-hour between nonconforming building. The deficient practice had the potential to affect 9 floors where the medical office building connect.

Findings:

During the facility tour on 12/1-15/2010, between the hours of 8:30am and 4:30pm, it was observed that there was no fire barrrie separation between the medical office building and hospital the medical office building is a non conforming building that dose not meet healthcare requirements for life safety code. The Life Safety Code 2000 existing, Which this facility is inspected under require a two-hour fire barrier separate the two.

Based on visual observations the facility failed to maintain barrier doors that self-close and latch in their frames . The deficient practice had the potential to affect 4 of 8 smoke barriers, and approximally 25 patients.

Findings:

During the facility tour on 2/1-15/2010, between the hours of 8:30am and 4:30pm, it was observed that barrier doors on 3rd floor labor and delivery and 2nd floor NICU barrier doors did not have latching hardware on them,which these doors unable of self-closing and latching in their frames.

Based on visual observations the facility failed to maintain barrier doors that self-close and latch in their frames. The deficient practice had the potential to affect 4 of 8 barriers, and approximately 18 patients.

Findings:

During the facility tour on 2/1-15/2010, between the hours of 8:30am and 4:30pm, it was observed that 1st floor surgery and MRI barrier doors in basement did not have latching hardware, which will not allow these doors to self-close and latch in there frames.

Based on visual observations the facility failed to maintain heating,ventilating, and air conditioning comply whit this standard. The deficient practice had the potential to affect 10 patients .

Findings:

During the facility tour on 2/1-15/2010, between the hours of 8:00am and 4:30pm , it was observed that the corridor 1st floor in outpatient's clinical rehab /physical therapy being used for return air plenum.