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Based on observation and staff interview, the facility failed to maintain exit corridors free of obstructions that projected from the wall into the corridor in 2 of 3 smoke compartments. This condition would slow the evacuation of patients served by these exits during an emergency.

Findings are:

Observation on 07-09-24 at 1:00 P. M and 1:15 PM revealed.,

1. Four wheelchairs and a bed were stored in the ER Corridor.

2. Three cleaning carts with chemicals and trash were stored in the corridor across from the elevator.

3. A large trash dumpster at the bottom of the exit ramp between the hospital and clinic that encroached into the required corridor width.

Interview on 07-09-24 at 1:15 P.M., with maintenance staff advised confirmed the storage in the corridors.

Based on observation and interview, the facility failed to provide any type of fire extinguishment protection over cooking equipment that produces grease-laden vapors and that might be a source of ignition. This deficient practice would allow a fire to spread and become uncontrollable.

Findings are:
1. Observations on 07-09-24 at 1:30 P.M. revealed the facility was using a deep fat fryer appliance in the kitchen without the protection of a hood exhaust system and required hood fire suppression system.

Interviews on 07/09/24 at 1:30 P.M., with the Maintenance staff confirmed this observation and advised that the facility was told that the appliance was not required to be under the exhaust hood and protected with the hood fire suppression system.

2. Observations on 07-09-24 at 12:45 P.M., revealed that the Radiology staff was using an air fryer within the radiology department without the protection of a hood exhaust system and required hood fire suppression system.

Interviews on 07-09-24 at 12:45 P.M., with Maintenance staff confirmed the observation and was unaware of fryer being used.

Based on observation and interview, the facility did not ensure that doors to the corridors were provided with a means suitable for keeping the door closed. This deficient practice would not prevent the spread of fire and smoke.

Findings are:
1. Observation on 07/09/24 at 11:30 A.M. revealed the doors to the clean utility room, CT suite, and the central exit stairs on first floor and lower level were blocked open with door wedges.

During an Interview on 07/09/24 at 11:30 A.M. maintenance staff A confirmed the doors were blocked open.

2. Observation on 07/09/24 at 12:00 P.M., revealed the door to the Cardiac Rehab had a kick down plate installed on it which could prevent the door from being closed in an emergency.

During an Interview on 07/09/24 at 12:00 P.M. maintenance staff A confirmed the kick down plate on the Cardiac Rehab door.

Based on observation and interview, the facility failed to prohibit the use of extension cords as a substitute for adequate wiring. This deficient practice would create electrical injury and increase a fire hazard.

Findings are:
1. Observation on 7/09/24 at 12:40 P.M., revealed, a zip wire extension cord plugged into a Three-way adaptor running up into the drop ceiling in Radiology.

2. Observation on 07-09-24 at 12:40 P.M., revealed in Radiology, a power cord to a grow light running through a door between the door and door frame where the cord was being pinched.

During an interview on 7/09/24 at 12:40 P.M., Maintenance Staff A confirmed the extension cord and power cord running through the door and frame.