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The facility failed to ensure corridor doors were equipped with automatic latching hardware suitable for keeping the doors closed and resistant to the passage of smoke.

Observation determined five (5) of five (5) sets of double doors in corridors leading to Electrical Closets, Radiology Records Storage, and a Linen Closet were not self latching into the door frame. Manual latching levers were installed in one of the doors in each set.

The facility failed to ensure doors to hazardous areas were equipped with self-closing/automatic latching hardware.

Observation determined the door to the Maintenance Room (F-111) was not equipped with a self closing device.

The width of corridors (clear and unobstructed) serving as exit access in hospitals and nursing homes must be at least 8 feet.

The facility failed to provide 8 foot wide exit corridors throughout the building.

Observation determined the exit corridor in the Chapel Wing was six feet in width.

Automatic fire sprinkler systems must be installed in accordance with NFPA 13.

The facility failed to install the automatic sprinkler system in accordance with NFPA 13 to provide adequate coverage for all portions of the building.

Observation determined the Southwest Main Entrance was not protected by the automatic sprinkler system. The area between the first sliding door and the second bi-fold door into the building was not protected by the automatic sprinkler system.

The facility failed to ensure electrical wiring and electrical equipment comply with NFPA 70.

Flexible cords and cables must not be used as a substitute for fixed wiring of a structure. NFPA 70, 400-8

Observation determined the facility was using flexible cords as a substitute for fixed wiring.

Power strips were in use throughout the building for microwaves, refrigerators, fans, chargers, and other items.

The facility failed to ensure corridor doors were equipped with automatic latching hardware suitable for keeping the doors closed and resistant to the passage of smoke.

Observation determined five (5) of five (5) sets of double doors in corridors leading to Electrical Closets, Radiology Records Storage, and a Linen Closet were not self latching into the door frame. Manual latching levers were installed in one of the doors in each set.

The facility failed to ensure doors to hazardous areas were equipped with self-closing/automatic latching hardware.

Observation determined the door to the Maintenance Room (F-111) was not equipped with a self closing device.

The width of corridors (clear and unobstructed) serving as exit access in hospitals and nursing homes must be at least 8 feet.

The facility failed to provide 8 foot wide exit corridors throughout the building.

Observation determined the exit corridor in the Chapel Wing was six feet in width.

Automatic fire sprinkler systems must be installed in accordance with NFPA 13.

The facility failed to install the automatic sprinkler system in accordance with NFPA 13 to provide adequate coverage for all portions of the building.

Observation determined the Southwest Main Entrance was not protected by the automatic sprinkler system. The area between the first sliding door and the second bi-fold door into the building was not protected by the automatic sprinkler system.

The facility failed to ensure electrical wiring and electrical equipment comply with NFPA 70.

Flexible cords and cables must not be used as a substitute for fixed wiring of a structure. NFPA 70, 400-8

Observation determined the facility was using flexible cords as a substitute for fixed wiring.

Power strips were in use throughout the building for microwaves, refrigerators, fans, chargers, and other items.