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Based on observation and facility staff interview, facility staff failed to provide emergency lighting at exit discharge areas. The facility census was nine.


1. Observation on 11/9/22, during the facility tour showed no emergency lighting at three of four exit discharge areas.

During an interview on 11/9/22 at 9:50 A.M., the Director of Facility and Environmental Services said the exit discharge areas did not have emergency lighting.

NFPA 101, 2012 edition states "Emergency lighting of at least 1-1/2 hour duration is provided automatically in accordance with 7.9".

Based on observation and facility staff interview, the facility failed to provide a means of egress without suspended unit heaters. The facility census was 9.

1. Observation on 11/9/22, during the facility tour, showed suspended unit heaters in the northwest stairwell. Observation showed the stairwell as a path of egress used to get to the designated exit.

During an interview on 11/9/22 at 10:36 A.M., The Director of Facility and Environmental Services said that he did not know the suspended heaters were a hazard.

National Fire Protection Association 101, 2012 edition, section 19.5.2.3 states:


"19.5.2.3 The requirements of 19.5.2.2 shall not apply where
otherwise permitted by the following:
(1) Approved, suspended unit heaters shall be permitted in
locations other than means of egress and patient sleeping
areas, provided that both of the following criteria are met:
(a) Such heaters are located high enough to be out of the
reach of persons using the area.
(B) Such heaters are equipped with the safety features
required by 19.5.2.2(2).
(2) Direct-vent gas fireplaces, as defined in NFPA 54, National
Fuel Gas Code, shall be permitted inside of smoke compartments
containing patient sleeping areas, provided that all
of the following criteria are met:
(a) All such devices shall be installed, maintained, and
used in accordance with 9.2.2.
(b) No such device shall be located inside of a patient
sleeping room.
(c) The smoke compartment in which the direct-vent gas
fireplace is located shall be protected throughout by
an approved, supervised automatic sprinkler system
in accordance with 9.7.1.1(1) with listed quickresponse
or listed residential sprinklers.
(d)*The direct-vent fireplace shall include a sealed glass
front with a wire mesh panel or screen.
(e)*The controls for the direct-vent gas fireplace shall be
locked or located in a restricted location.
(f) Electrically supervised carbon monoxide detection in
accordance with Section 9.8 shall be provided in the
room where the fireplace is located.
(3) Solid fuel-burning fireplaces shall be permitted and used
only in areas other than patient sleeping areas, provided
that all of the following criteria are met:
(a) Such areas are separated from patient sleeping spaces
by construction having not less than a 1-hour fire resistance
rating.
(b) The fireplace complies with the provisions of 9.2.2.
(c) The fireplace is equipped with a fireplace enclosure
guaranteed against breakage up to a temperature of
650°F (343°C) and constructed of heat-tempered
glass or other approved material.
(d) Electrically supervised carbon monoxide detection in
accordance with Section 9.8 is provided in the room
where the fireplace is located.
(4) If, in the opinion of the authority having jurisdiction, special
hazards are present, a lock on the enclosure specified
in 19.5.2.3(3)(c) and other safety precautions shall be
permitted to be required."