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CHI ST ALEXIUS HEALTH TURTLE LAKE
No Description Available
Tag No.: K0011
The facility failed to ensure a complete two-hour fire resistive rated wall assembly between the hospital and the administrative building.
Observation determined the 90-minute fire rated self-closing door at the Activities Storage Closet did not self-close and latch to the door frame.
No Description Available
Tag No.: K0020
The facility failed to provide a one-hour fire resistance rated stair enclosure.
Observation determined the walls of the east stair enclosure stopped at the membrane ceiling and were not extended to the roof deck.
No Description Available
Tag No.: K0062
The facility failed to ensure all areas have proper coverage by the automatic fire sprinkler system.
Observation determined the new Bariatric Room is not adequately protected by the fire sprinkler system. The existing sprinkler system in this room had been dismantled to allow installation of the overhead rail structure.
No Description Available
Tag No.: K0144
The emergency generator must be inspected weekly. NFPA 110, 3-5.4.5
1) Review of records determined documentation of the weekly inspections of the generator did not include the battery fluid.
2) Inspection of the battery revealed the presence of corrosion build-up on the positive post connection.
LIFE SAFETY CODE STANDARD
Tag No.: K0011
The facility failed to ensure a complete two-hour fire resistive rated wall assembly between the hospital and the administrative building.
Observation determined the 90-minute fire rated self-closing door at the Activities Storage Closet did not self-close and latch to the door frame.
LIFE SAFETY CODE STANDARD
Tag No.: K0020
The facility failed to provide a one-hour fire resistance rated stair enclosure.
Observation determined the walls of the east stair enclosure stopped at the membrane ceiling and were not extended to the roof deck.
LIFE SAFETY CODE STANDARD
Tag No.: K0062
The facility failed to ensure all areas have proper coverage by the automatic fire sprinkler system.
Observation determined the new Bariatric Room is not adequately protected by the fire sprinkler system. The existing sprinkler system in this room had been dismantled to allow installation of the overhead rail structure.
LIFE SAFETY CODE STANDARD
Tag No.: K0144
The emergency generator must be inspected weekly. NFPA 110, 3-5.4.5
1) Review of records determined documentation of the weekly inspections of the generator did not include the battery fluid.
2) Inspection of the battery revealed the presence of corrosion build-up on the positive post connection.