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Tag No.: K0034
Based on observation the facility failed to assure stairways were maintained in accordance with NFPA 72.
The findings included:
Observation on August 2-August 4, 2010 revealed housekeeping signage stored in the exit stairways throughout the facility.
Tag No.: K0038
Based on observation the facility failed to assure exit access and exits are readily accessible at all times.
The findings included:
Observation on August 2-4, 2010 revealed the required exit access and exits throughout the facility were obstructed by wheelchairs, newspaper stands and other types of equipment.
Tag No.: K0067
Based on observation the facility failed to assure air handling equipment is maintained in a safe operating condition.
The findings included:
Observation on August 2-4, 2010 revealed a heavy, dark buildup of lint on the exhaust and supply air diffusers throughout the facility posing a potential fire hazard.
Tag No.: K0071
Based on observation the facility failed to assure laundry chutes were maintained as per NFPA 82.
The findings included:
Observation on August 3, 2010 at 10:00 a.m. revealed the laundry chute on the 1st floor in the SICU will not close.
Tag No.: K0077
Based on record review the facility failed to assure the medical gas system had been certified as per NFPA 99.
The findings included:
Record review on August 2, 2010 at 11:00 a.m. revealed the medical gas system had not been certified annually by a licensed/certified company.
Tag No.: K0034
Based on observation the facility failed to assure stairways were maintained in accordance with NFPA 72.
The findings included:
Observation on August 2-August 4, 2010 revealed housekeeping signage stored in the exit stairways throughout the facility.
Tag No.: K0038
Based on observation the facility failed to assure exit access and exits are readily accessible at all times.
The findings included:
Observation on August 2-4, 2010 revealed the required exit access and exits throughout the facility were obstructed by wheelchairs, newspaper stands and other types of equipment.
Tag No.: K0067
Based on observation the facility failed to assure air handling equipment is maintained in a safe operating condition.
The findings included:
Observation on August 2-4, 2010 revealed a heavy, dark buildup of lint on the exhaust and supply air diffusers throughout the facility posing a potential fire hazard.
Tag No.: K0071
Based on observation the facility failed to assure laundry chutes were maintained as per NFPA 82.
The findings included:
Observation on August 3, 2010 at 10:00 a.m. revealed the laundry chute on the 1st floor in the SICU will not close.
Tag No.: K0077
Based on record review the facility failed to assure the medical gas system had been certified as per NFPA 99.
The findings included:
Record review on August 2, 2010 at 11:00 a.m. revealed the medical gas system had not been certified annually by a licensed/certified company.