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A. Due to the number, variety, and severity of the life safety deficiencies observed during the survey walk-through, the provider shall institute appropriate interim life safety measures until all cited deficiencies are corrected. The provider shall include, as an attachment to its Plan of Correction (PoC) and referenced therein, a detailed narrative and proposed schedule for all such measures. The narrative shall describe all measures to be implemented, as well as the frequency with which they are to be conducted, and shall indicate the manner in which the measures are to be documented. The narrative shall also include comments related to changes in the interim life safety measures to remain in place as work toward the completion of its PoC progresses.

A. Electrical systems did not appear to be in compliance with NFPA 70, 1999. The following conditions were observed:

1. The second floor Med/surg patient rooms were indicated to have all outlets on the emergency power system.

a. The arrangement did not appear to comply with NFPA 70, 517-18(a) which requires each bed location to be supplied by at least two branch circuits, one from the emergency system and one from the normal system. Alternatively, per Exception No. 3, it was not verified that the outlets were supplied from two separate transfer switches on the emergency system.

UPDATE 10/13/11: The work has not started on this work at the time of this survey.

b. Corrected 10/07/10
c. Corrected 10/07/10

2. Corrected 10/07/10

3. Corrected 06/23/11