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SANFORD WHEATON MEDICAL CENTER
No Description Available
Tag No.: K0054
This STANDARD is not met as evidenced by:
Based on interview and review of available documentation, the facility has not been conducting sensitivity testing of the smoke detectors on the fire alarm system in accordance with NFPA 72 (99), Sec. 7-3.2.1. This deficient practice could affect all Patients, visitors, and staff.
Findings include:
On facility tour between 10:00 AM and 3:30 PM on 9/27/11, a review of the facility's available fire alarm test documentation revealed that the facility failed to provide documentation for the required sensitivity test of each smoke detector in the facility.
These deficient practices were confirmed by the Maintenance Supervisor (LR).
No Description Available
Tag No.: K0056
This STANDARD is not met as evidenced by:
Based on observations, the automatic sprinkler system is not installed and maintained in accordance with NFPA 13 the Standard for the Installation of Sprinkler Systems (99). This failure to maintain the sprinkler system in compliance with NFPA 13 (99) and could effect the fire sprinkler system and allow a fire development that would reduce the egress conditions affecting all Patients, staff and visitors of the facility.
Findings include:
On facility tour between 10:00 AM and 3:30 PM on 9/27/11, it was observed that the following deficient conditions were found affecting the facility's fire sprinkler system:
1) wires hanging on the fire sprinkler piping located in the 2003 basement addition,
2) the elevator shaft was not provided with fire sprinkler protection with shunt trip protection.
These deficient practices were confirmed by the Maintenance Supervisor (LR).
No Description Available
Tag No.: K0070
This STANDARD is not met as evidenced by:
Based on observation and interview, the facility used portable space heaters in non-resident care areas and failed to follow the policy on the use of portable space heaters in the facility that meets the requirements of NFPA 101-2000 edition, Section 19.7.8. This deficient practice could affect patients, visitors and staff.
Findings include:
On facility tour between 10:00 AM and 3:30 PM on 9/27/11, it was observed that there were portable space heaters located and being used in the facility and the facility policy prohibits the use of space heaters. The portable space heating devices were located at the main nurses station and in the Physical Therapy.
These deficient practices were confirmed by the Maintenance Supervisor (LR).