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CCM HEALTH
No Description Available
Tag No.: K0029
Based on observation and staff interview, the facility has failed to provide proper protection from several hazardous areas located throughout the facility in accordance with NFPA Life Safety Code 101 (2000 edition) section 18.3.2.1. This deficient practice could affect all patients, staff and visitors as smoke from a fire in this rooms could enter the corridor making it untenable.
Findings include:
On facility tour between 09:00 AM and 4:00 PM on 08/19/2015, observation revealed, that the following deficient conditions were identified:
1. the doors to the Hazardous waste room was not equipped with a door closing device,
2. the doors to the Infectious waste room was not equipped with a door closing device.
This deficient practice was verified by the Facilities Manager (DL).
No Description Available
Tag No.: K0050
Based on documentation review and staff interview, the facility failed to assure fire drills were conducted once per shift for all staff under varying times and conditions as required by 2000 NFPA 101, Section 4.2. This deficient practice could affect all patients, staff and visitors.
Findings include:
On facility tour between 9:00 AM and 4:00 PM on 08/19/2015, the review of the fire drill documentation for the past 12 months revealed, that the facility failed to conduct a fire drill.
This deficient practice was confirmed by the Maintenance Supervisor (DL).
LIFE SAFETY CODE STANDARD
Tag No.: K0029
Based on observation and staff interview, the facility has failed to provide proper protection from several hazardous areas located throughout the facility in accordance with NFPA Life Safety Code 101 (2000 edition) section 18.3.2.1. This deficient practice could affect all patients, staff and visitors as smoke from a fire in this rooms could enter the corridor making it untenable.
Findings include:
On facility tour between 09:00 AM and 4:00 PM on 08/19/2015, observation revealed, that the following deficient conditions were identified:
1. the doors to the Hazardous waste room was not equipped with a door closing device,
2. the doors to the Infectious waste room was not equipped with a door closing device.
This deficient practice was verified by the Facilities Manager (DL).
LIFE SAFETY CODE STANDARD
Tag No.: K0050
Based on documentation review and staff interview, the facility failed to assure fire drills were conducted once per shift for all staff under varying times and conditions as required by 2000 NFPA 101, Section 4.2. This deficient practice could affect all patients, staff and visitors.
Findings include:
On facility tour between 9:00 AM and 4:00 PM on 08/19/2015, the review of the fire drill documentation for the past 12 months revealed, that the facility failed to conduct a fire drill.
This deficient practice was confirmed by the Maintenance Supervisor (DL).