HospitalInspections.org

Based on visual observation this sprinklered facility failed to assure that the smoke compartmentation of the membrane between the egress corridor and rooms adjacent to the egress corridor, were not compromised. Repairs to assure the protection of occupants and the integrity of the means of egress are essential in case of a fire or other smoke emergency. The deficient practice had the potential to affect of residents.
2 of 4 smoke compartments were deficient.

Findings:

During the facility tour, on 9/14/11, between the hours of 10:00am and 4:30pm, it was observed that a space open to the corridor, on the 5th floor by Room W527, was not covered by smoke detection.

Based on visual observation the facility failed to assure that the smoke barrier doors in the facility properly protected the smoke compartment. The smoke barrier doors restrict the movement of smoke from one compartment to another. The deficient practice had the potential to affect 52 of 360 residents.

Findings:

During the facility tour, on 9/14/11, between the hours of 10:00am and 4:30pm, it was observed that the following doors would not resist the passage of smoke:

2nd floor

1. double doors leading to the "S" Building
2. double doors by Room 2103
3. double doors leading to the President's Room (large meeting room)

Based on visual observation the facility failed to provide corridors that are clear and unobstructed. Clear corridors allows easier access for occupants to evacuate from all exits in the building. The deficient practice had the potential to affect 360 of 360 patients, staff and visitors.

Findings:

During the facility tour, 9/14/11, between the hours of 10:00am and 4:30pm, it was observed on each floor in the corridors throughout, wall mounted clocks that extend 13" into the corridor and are 78" from the floor.

Based on visual observation, the facility failed to provide magnetic locking devices that upon loss of power failed to remain open when generator power was restored to the building. This deficiency, if not corrected would have the potential to cause harm to the 22 of 360 patients in the building if a fire emergency would occur.

Findings:

During tour of facility on 9/14/11, between the hours of 10:00am and 4:30pm, it was observed that cross corridor doors in the following areas did not have a key override switch for the special locking devices:

3rd floor

1. between surgery suite and one day surgery
2. between ICU3 and the surgery suite

Based on visual observation this sprinklered facility failed to assure that the smoke compartmentation of the membrane between the egress corridor and rooms adjacent to the egress corridor, were not compromised. Repairs to assure the protection of occupants and the integrity of the means of egress are essential in case of a fire or other smoke emergency. The deficient practice had the potential to affect of residents.
2 of 4 smoke compartments were deficient.

Findings:

During the facility tour, on 9/14/11, between the hours of 10:00am and 4:30pm, it was observed that a space open to the corridor, on the 5th floor by Room W527, was not covered by smoke detection.

Based on visual observation the facility failed to assure that the smoke barrier doors in the facility properly protected the smoke compartment. The smoke barrier doors restrict the movement of smoke from one compartment to another. The deficient practice had the potential to affect 52 of 360 residents.

Findings:

During the facility tour, on 9/14/11, between the hours of 10:00am and 4:30pm, it was observed that the following doors would not resist the passage of smoke:

2nd floor

1. double doors leading to the "S" Building
2. double doors by Room 2103
3. double doors leading to the President's Room (large meeting room)

Based on visual observation the facility failed to provide corridors that are clear and unobstructed. Clear corridors allows easier access for occupants to evacuate from all exits in the building. The deficient practice had the potential to affect 360 of 360 patients, staff and visitors.

Findings:

During the facility tour, 9/14/11, between the hours of 10:00am and 4:30pm, it was observed on each floor in the corridors throughout, wall mounted clocks that extend 13" into the corridor and are 78" from the floor.

Based on visual observation, the facility failed to provide magnetic locking devices that upon loss of power failed to remain open when generator power was restored to the building. This deficiency, if not corrected would have the potential to cause harm to the 22 of 360 patients in the building if a fire emergency would occur.

Findings:

During tour of facility on 9/14/11, between the hours of 10:00am and 4:30pm, it was observed that cross corridor doors in the following areas did not have a key override switch for the special locking devices:

3rd floor

1. between surgery suite and one day surgery
2. between ICU3 and the surgery suite