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Based on observation, testing, and interview, the provider failed to maintain two of two resident's room doors on the second floor patirnt wing from latching into the frame. The failure to latch prevented a smoke tight separation from the corridor. Findings include:

1. Observation and testing at 12:30 p.m. on 6/6/17 revealed two sliding intensive care room doors failed to latch into the frame. Interview with the lead maintenance person at the time of the observation and testing confirmed the doors would not latch. He indicated the doors had operated properly at the time of occupancy.

The deficiency affected one of two smoke compartments and both patient sleeping rooms from smoke and fire.

Based on observation and interview, the provider failed to maintain the vertical separation of one of two stair enclosures in the birthing suite. The second floor south stair enclosure door provided a gap clearance between the door and the floor greater than 3/4 inch. Findings include:

1. Observation and testing at 11:00 a.m. on 6/6/17 revealed the south stair door on the second floor when closed failed to maintain the fire resistive rating of the assembly. The doors when closed provided a gap greater than 3/4 inch between the vinyl floor and the bottom of the door. NFPA 80 Article 3-6 indicated clearances should be no greater than 3/4 inch from the floor to the bottom of the door.

Interview with the lead maintenance person at the time of the observation confirmed that finding. He indicated the door had been in that condition prior to obtaining occupancy of the building.

The deficiency affected one of two exit stair enclosures from fire and smoke.