HospitalInspections.org

Based on observations and staff interview, it was determined that the facility failed to insure that the construction of all smoke barrier walls meet the requirements. This could place 26 patients at risk in case of a fire.

The findings include:

During a tour of this facility with staff M on 04/21/10 at 2:10 p.m. it was noted that there were unsealed penetrations of the smoke barrier wall above the smoke doors in the 3rd floor corridor near to elevator "B".

An interview with staff M on 04/21/10 at 2:10 p.m. confirmed the findings.

During a tour of this facility with staff M on 04/21/10 at 2:10 p.m. it was noted that the smoke barrier walls on the 3rd floor were not properly sealed at the deck above with fire resistive caulking materials.

An interview with staff M on 04/21/10 at 2:15 p.m. confirmed the findings.

Based on observations and staff interview, it was determined that the facility failed to insure that all egress requirements were being met. This could place 115 patients at risk in case of a fire.

The findings include:

During a tour of this facility with staff M on 04/21/10 at 3:00 p.m. it was noted that the stairs in the older part of the facility were not provided with guard rails at least 42" high and there were spaces in the guards that a 4" sphere could pass through.

An interview with staff M on 04/21/10 confirmed the findings.

Based on observations and staff interview, it was determined that the facility failed to insure that the automatic sprinkler system met all requirements. This could place 115 patients at risk in case of a fire.

The findings include:

During a tour of this facility with staff M on 04/21/10 at 3:30 p.m. it was noted that the Post Indicator Valve on the sprinkler system's water supply line was not supervised by the building's fire alarm system.

An interview with staff M on 04/21/10 at 3:30 p.m. confirmed the findings.

During a tour of this facility with staff M on 04/21/10 at 11:15 a.m. it was noted that the area at the top of stairwell #5 was not protected by the automatic sprinkler system.

An interview with staff M on 04/21/10 at 11:15 a.m. confirmed the findings.

Based on observations and staff interview, it was determined that the facility failed to insure that the construction of all smoke barrier walls meet the requirements. This could place 26 patients at risk in case of a fire.

The findings include:

During a tour of this facility with staff M on 04/21/10 at 2:10 p.m. it was noted that there were unsealed penetrations of the smoke barrier wall above the smoke doors in the 3rd floor corridor near to elevator "B".

An interview with staff M on 04/21/10 at 2:10 p.m. confirmed the findings.

During a tour of this facility with staff M on 04/21/10 at 2:10 p.m. it was noted that the smoke barrier walls on the 3rd floor were not properly sealed at the deck above with fire resistive caulking materials.

An interview with staff M on 04/21/10 at 2:15 p.m. confirmed the findings.

Based on observations and staff interview, it was determined that the facility failed to insure that all egress requirements were being met. This could place 115 patients at risk in case of a fire.

The findings include:

During a tour of this facility with staff M on 04/21/10 at 3:00 p.m. it was noted that the stairs in the older part of the facility were not provided with guard rails at least 42" high and there were spaces in the guards that a 4" sphere could pass through.

An interview with staff M on 04/21/10 confirmed the findings.

Based on observations and staff interview, it was determined that the facility failed to insure that the automatic sprinkler system met all requirements. This could place 115 patients at risk in case of a fire.

The findings include:

During a tour of this facility with staff M on 04/21/10 at 3:30 p.m. it was noted that the Post Indicator Valve on the sprinkler system's water supply line was not supervised by the building's fire alarm system.

An interview with staff M on 04/21/10 at 3:30 p.m. confirmed the findings.

During a tour of this facility with staff M on 04/21/10 at 11:15 a.m. it was noted that the area at the top of stairwell #5 was not protected by the automatic sprinkler system.

An interview with staff M on 04/21/10 at 11:15 a.m. confirmed the findings.