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Based on direct observations and interview, the facility failed to provide illumination of exit discharges that would not be affected by the failure of a single bulb. This deficient practice could affect patients, staff and visitors, if the failure of one light bulb left a portion of a means of egress with less than the required illumination during an evacuation.

Finding includes:

On 8/23/14 At 1:15PM an observation determined that the egress discharge illumination of at least one foot candle light through out the newly constructed exit discharge sidewalk east of the building was not provided. This does not comply with NFPA 101, Sections 19.2.8 and 7.8.

Due to the number, variety, and severity of the life safety deficiencies observed during the survey walk-through, the provider shall institute appropriate interim life safety measures until all cited deficiencies are corrected. The provider shall include, as an attachment to its Plan of Correction (PoC) and referenced therein, a detailed narrative and proposed schedule for all such measures. The narrative shall describe all measures to be implemented, as well as the frequency with which they are to be conducted, and shall indicate the manner in which the measures are to be documented. The narrative shall also include comments related to changes in the interim life safety measures to remain in place as work toward the completion of its PoC progresses.

Based on direct observations and interview, the facility failed to provide a remote stop switch for the emergency generator. This deficient practice could affect patients, staff and visitors, if a problem with the generator was detected and the generator had to be remotely shut down.

Finding includes:

On 8/23/2016 at 1:35PM an observation determined that the facility failed to install a remotely located emergency stop switch for the new emergency generator. The emergency stop switch was found installed on the outside wall of the emergency generator cover, not remotely located as required in NFPA 110.

Based on direct observations and interview, the facility failed to provide illumination of exit discharges that would not be affected by the failure of a single bulb. This deficient practice could affect patients, staff and visitors, if the failure of one light bulb left a portion of a means of egress with less than the required illumination during an evacuation.

Finding includes:

On 8/23/14 At 1:15PM an observation determined that the egress discharge illumination of at least one foot candle light through out the newly constructed exit discharge sidewalk east of the building was not provided. This does not comply with NFPA 101, Sections 19.2.8 and 7.8.