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Based on visual observation the facility failed to assure that hazardous areas are separated from all other use areas including the egress corridors by appropriately partitions that would resist the passage of smoke and fire and meet the required fire rating and potentially affecting 70 of the 70 residents of the facility.

Findings:
During facility tour on 02/24/2012 between the hours of 8:30am and 4:00pm, several hazardous area doors thought-out the facility were not positive latching in the frame because of the latching device not being installed on the door frames

Based on visual observation the facility failed to provide 78 of 78 bathroom doors that are accessible. This would allow for the doors to be locked from inside and outside of the bathrooms and prevent the doors to be used in the event of a fire/ smoke emergency. This deficient practice would affect 6 of 7 building and potentially affecting 70 of the 70 residents of the facility.

Findings:
During facility tour on 02/24/2012 between the hours of 8:30am and 4:00pm, the doors leading from the residential rooms into the bathroom have keyed locks on both sides of the doors. The bathrooms are located between the residential rooms and would prevent if locked fom being accessed in the event of a fire/ smoke emergency.

Based on visual observations the facility failed to maintain sprinkler protection in accordance with NFPA-13. This deficient practice would allow for the sprinkler system to be delayed and not react to a fire emergency in a timely manner. This would affect 7 of 7 buildings and affect 70 of the 70 residents in the facility.

Finding :
1) - During tour of the facility on 02/24/2012 between the hours of 8:30am and 4:00pm , the sprinklers heads through-out the facility but not limited to common and residential areas had paint on them that would delay the activation of the sprinkler in the event of an fire emergency.

2) - During tour of the facility on 02/24/2012 between the hours of 8:30am and 4:00pm, the sprinklers heads through-out the facility but not limited to common and residential areas were damaged and would affect the flow pattern of the water being applied in the event of an fire emergency.

3) - During tour of the facility on 02/24/2012 between the hours of 8:30am and 4:00pm, canopy outside of the back of the gym, kitchen , building-4 north and purchasing are over 4-ft in width and constructed of combustible construction and are not protected by the buildings sprinkler system as per NFPA-13. Also small corridor between the inside of the gym and the back canopy and small area in building 4 by the nurses station is not protected by the buildings sprinkler system.

4) - During tour of the facility on 02/24/2012 between the hours of 8:30am and 4:00pm, the sprinklers heads through-out the facility but not limited to common and residential areas were missing sprinkler rated covers.

Based on visual observation the facility failed to provide proper ashtray containers. The deficient practice had the potential to affect 7 of 7 buildingd and allow smoke and fire back into the facilities corridors and means of egress and potentially affecting 70 of 70 residents of the facility.

Findings:
During facility tour on 02/24/2012 between the hours of 8:30am and 4:00pm, the ashtray containers in the smoking areas were not of the metal type with self-closing covers. The type that were present had a metal/plastic base with a metal/plastic tube with no self-closing covers

Based on visual observation , the facility failed to assure that the required equipment for the new generator is being installed and maintained. In case of a power outage the emergency generator powers essential life safety equipment for the facility. The deficient practice could potentially affect 70 residents of the 70 residents of the facility.

Findings:
During the facility tour on 02/24/2012, between the hours of 8:30am and 4:00pm, the panel for the EPS is located in building- 4 North. It is not in working order and not located in a constant attended location for someone to see if a problem with the EPS takes place.

Based on visual observation the facility failed to assure that hazardous areas are separated from all other use areas including the egress corridors by appropriately partitions that would resist the passage of smoke and fire and meet the required fire rating and potentially affecting 70 of the 70 residents of the facility.

Findings:
During facility tour on 02/24/2012 between the hours of 8:30am and 4:00pm, several hazardous area doors thought-out the facility were not positive latching in the frame because of the latching device not being installed on the door frames

Based on visual observation the facility failed to provide 78 of 78 bathroom doors that are accessible. This would allow for the doors to be locked from inside and outside of the bathrooms and prevent the doors to be used in the event of a fire/ smoke emergency. This deficient practice would affect 6 of 7 building and potentially affecting 70 of the 70 residents of the facility.

Findings:
During facility tour on 02/24/2012 between the hours of 8:30am and 4:00pm, the doors leading from the residential rooms into the bathroom have keyed locks on both sides of the doors. The bathrooms are located between the residential rooms and would prevent if locked fom being accessed in the event of a fire/ smoke emergency.

Based on visual observations the facility failed to maintain sprinkler protection in accordance with NFPA-13. This deficient practice would allow for the sprinkler system to be delayed and not react to a fire emergency in a timely manner. This would affect 7 of 7 buildings and affect 70 of the 70 residents in the facility.

Finding :
1) - During tour of the facility on 02/24/2012 between the hours of 8:30am and 4:00pm , the sprinklers heads through-out the facility but not limited to common and residential areas had paint on them that would delay the activation of the sprinkler in the event of an fire emergency.

2) - During tour of the facility on 02/24/2012 between the hours of 8:30am and 4:00pm, the sprinklers heads through-out the facility but not limited to common and residential areas were damaged and would affect the flow pattern of the water being applied in the event of an fire emergency.

3) - During tour of the facility on 02/24/2012 between the hours of 8:30am and 4:00pm, canopy outside of the back of the gym, kitchen , building-4 north and purchasing are over 4-ft in width and constructed of combustible construction and are not protected by the buildings sprinkler system as per NFPA-13. Also small corridor between the inside of the gym and the back canopy and small area in building 4 by the nurses station is not protected by the buildings sprinkler system.

4) - During tour of the facility on 02/24/2012 between the hours of 8:30am and 4:00pm, the sprinklers heads through-out the facility but not limited to common and residential areas were missing sprinkler rated covers.

Based on visual observation the facility failed to provide proper ashtray containers. The deficient practice had the potential to affect 7 of 7 buildingd and allow smoke and fire back into the facilities corridors and means of egress and potentially affecting 70 of 70 residents of the facility.

Findings:
During facility tour on 02/24/2012 between the hours of 8:30am and 4:00pm, the ashtray containers in the smoking areas were not of the metal type with self-closing covers. The type that were present had a metal/plastic base with a metal/plastic tube with no self-closing covers

Based on visual observation , the facility failed to assure that the required equipment for the new generator is being installed and maintained. In case of a power outage the emergency generator powers essential life safety equipment for the facility. The deficient practice could potentially affect 70 residents of the 70 residents of the facility.

Findings:
During the facility tour on 02/24/2012, between the hours of 8:30am and 4:00pm, the panel for the EPS is located in building- 4 North. It is not in working order and not located in a constant attended location for someone to see if a problem with the EPS takes place.