HospitalInspections.org

Based on interview and document review the Critical Access Hospital (CAH) failed to develop a plan to ensure adequate water availability in the event of an emergency. This had the potential to affect all patients, staff and persons who come to the CAH.

Findings include:

Review of the facility Emergency Water Contract dated 9/23/14, indicated water was obtained from a private vendor. The contract read, "This water conditioning firm agrees to provide such emergency supplies of water as would be needed in the event of a natural disaster, water shortage, or contamination or eventuality resulting in the loss of suitable water service to Sanford Jackson Medical Center." The contract lacked reference to the amount of non-potable and potable water required in the event of loss of water and failed to address a plan in the event of a disruption in supply (e.g. disruption to the entire surrounding community).

During interview on 4/7/15, at 10:40 a.m. maintenance (M)-A verified the contract with the private vendor dated 9/23/14, lacked reference to the amount of non-potable and potable water required in the event of loss of water and failed to address a plan in the event of a disruption in supply.

Based on observation, interview, and record review, the Critical Access Hospital (CAH) was found to be out of compliance with Life Safety Code requirements. These findings have the potential to affect all patients in the hospital.

Findings include:

Please refer to Life Safety Code inspection tags: K11, K18, K29, K45, K50, K52, K62, K69, K76, K144