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Based on observations the facility failed to provide the required 30 minute fire resistance rating for smoke barrier walls in accordance with 19.3.7.3, 19.1.6.3, 19.1.6.4. This condition has the potential to affect about 50% of the residents and staff.

Finding include:

While inspecting smoke barrier walls on February 21, 2012 at approximately 12:30 p.m., the maintenance supervisor and the surveyor observed the smoke barrier located on the West Wing had 2 penetrations around the wiring. This deficiency was corrected prior to the end of the survey.

This deficient practice has the potential of affecting 2 of 2 smoke compartments. The administrator and maintenance director were notified during the survey and in the exit conference.

Based on observation and testing, the facility failed to provide the one hour fire rated construction (with 45 minute fire-rated doors) or an approved automatic fire extinguishing system in accordance with 8.4.1 and/or 19.3.5.4. This condition affected 50% of the residents and staff.

Findings include:

On February 21, 2012 at 1:30 p.m., the maintenance supervisor and the the surveyor found the one hour enclosure for the Boiler Room had penetrations around the wiring in the wall connected to the building.

This deficient practice has the potential of affecting 1 of 2 smoke compartments. The administrator and maintenance director were notified during the survey and in the exit conference.

Based on observations the facility failed to provide the required 30 minute fire resistance rating for smoke barrier walls in accordance with 19.3.7.3, 19.1.6.3, 19.1.6.4. This condition has the potential to affect about 50% of the residents and staff.

Finding include:

While inspecting smoke barrier walls on February 21, 2012 at approximately 12:30 p.m., the maintenance supervisor and the surveyor observed the smoke barrier located on the West Wing had 2 penetrations around the wiring. This deficiency was corrected prior to the end of the survey.

This deficient practice has the potential of affecting 2 of 2 smoke compartments. The administrator and maintenance director were notified during the survey and in the exit conference.

Based on observation and testing, the facility failed to provide the one hour fire rated construction (with 45 minute fire-rated doors) or an approved automatic fire extinguishing system in accordance with 8.4.1 and/or 19.3.5.4. This condition affected 50% of the residents and staff.

Findings include:

On February 21, 2012 at 1:30 p.m., the maintenance supervisor and the the surveyor found the one hour enclosure for the Boiler Room had penetrations around the wiring in the wall connected to the building.

This deficient practice has the potential of affecting 1 of 2 smoke compartments. The administrator and maintenance director were notified during the survey and in the exit conference.