HospitalInspections.org

Observations showed that six of forty corridor doors tested did not comply with NFPA 101 "The Life Safety Code" 2000 Edition Section 19.2.2.2. If corridor doors do not latch and stay tightly within their frames a fire could spread beyond the room of origin and would negatively impact all the patients, visitors and staff.

Findings include:
Observations and testing of approximately forty corridor doors during the facility tour on September 28, 2010, between 10:30 am and 12:00 pm, revealed that:

1) The corridor doors from rooms 116, 177 and 182 had latches that stuck in the door in the released position, and

2) The corridor doors from Lab, X-ray and the om-call room did not have positive latches.

So when closed these doors did not stay tightly within their frames.

The Director of Maintenance (DA) verified these findings during the inspection and with the Administrator (RF) at the exit conference.

Observations revealed that the kitchen portable fire extinguishers was damaged. This deficient practice could effect the kitchen staff, and visitors.

Findings include:
Observations of portable fire extinguisher during the facility tour on September 28, 2010, between 10:30 am and 12:00 pm, revealed that the K type portable fire extinguisher in the kitchen had liquid in it's gauge and appeared to have leaked in the extinguisher cabinet.

The Director of Maintenance (DA) verified these findings during the inspection and with the Administrator (RF) at the exit conference.

Observation of the one staff on-call room revealed that it does not meet the requirements of the Minnesota State Fire Code 2007 edition section 907.3.3.1 and 1027.1. This could affect the staff occupying the room by slowing their response to a fire and preventing their escape..

Findings include:
Observations during the facility tour on September 28, 2010, between 10:30 am and 12:00 pm, revealed that the staff on-call room did not have a smoke detector within the room.

The Director of Maintenance (DA) verified these findings during the inspection and with the Administrator (RF) at the exit conference.

Observations showed that six of forty corridor doors tested did not comply with NFPA 101 "The Life Safety Code" 2000 Edition Section 19.2.2.2. If corridor doors do not latch and stay tightly within their frames a fire could spread beyond the room of origin and would negatively impact all the patients, visitors and staff.

Findings include:
Observations and testing of approximately forty corridor doors during the facility tour on September 28, 2010, between 10:30 am and 12:00 pm, revealed that:

1) The corridor doors from rooms 116, 177 and 182 had latches that stuck in the door in the released position, and

2) The corridor doors from Lab, X-ray and the om-call room did not have positive latches.

So when closed these doors did not stay tightly within their frames.

The Director of Maintenance (DA) verified these findings during the inspection and with the Administrator (RF) at the exit conference.

Observations revealed that the kitchen portable fire extinguishers was damaged. This deficient practice could effect the kitchen staff, and visitors.

Findings include:
Observations of portable fire extinguisher during the facility tour on September 28, 2010, between 10:30 am and 12:00 pm, revealed that the K type portable fire extinguisher in the kitchen had liquid in it's gauge and appeared to have leaked in the extinguisher cabinet.

The Director of Maintenance (DA) verified these findings during the inspection and with the Administrator (RF) at the exit conference.

Observation of the one staff on-call room revealed that it does not meet the requirements of the Minnesota State Fire Code 2007 edition section 907.3.3.1 and 1027.1. This could affect the staff occupying the room by slowing their response to a fire and preventing their escape..

Findings include:
Observations during the facility tour on September 28, 2010, between 10:30 am and 12:00 pm, revealed that the staff on-call room did not have a smoke detector within the room.

The Director of Maintenance (DA) verified these findings during the inspection and with the Administrator (RF) at the exit conference.