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414 W JEFFERSON PO BOX 396

MAHNOMEN, MN 56557

No Description Available

Tag No.: K0050

Based on review of reports, records and interview, it was determined that the facility failed to vary the times for the required number of fire drills for each shift in the last 12-month period in accordance with NFPA 101 LSC (00) Section 19.7.1.2. This deficient practice could affect how staff react in the event of a fire. Improper reaction by staff would affect the safety of all 4 patients.

Findings include:

On facility tour between 10:00 AM and 1:00 PM on 4/16/2014 a review of the available fire drill reports revealed that the facility's Evening-shift fire drills between 6:00 PM, 4:25 PM, 6:30 PM, 4:14 PM, Night-shift between 1:30 AM, 4:00 AM, 2:00 AM, 1:00 AM not at varied times as required by Section 19.7.1.2.

This deficient practice was confirmed by the facility 's Maintenance Supervisor.

LIFE SAFETY CODE STANDARD

Tag No.: K0050

Based on review of reports, records and interview, it was determined that the facility failed to vary the times for the required number of fire drills for each shift in the last 12-month period in accordance with NFPA 101 LSC (00) Section 19.7.1.2. This deficient practice could affect how staff react in the event of a fire. Improper reaction by staff would affect the safety of all 4 patients.

Findings include:

On facility tour between 10:00 AM and 1:00 PM on 4/16/2014 a review of the available fire drill reports revealed that the facility's Evening-shift fire drills between 6:00 PM, 4:25 PM, 6:30 PM, 4:14 PM, Night-shift between 1:30 AM, 4:00 AM, 2:00 AM, 1:00 AM not at varied times as required by Section 19.7.1.2.

This deficient practice was confirmed by the facility 's Maintenance Supervisor.