HospitalInspections.org

Based on observation and interview, the facility failed to provide a complete two hour fire separation between the hospital and clinic areas. This deficient practice would affect the business office staff and clinic staff by allowing for smoke and fire to spread to and from the clinic area to the business office area of the hospital. The facility has a capacity of 17 and a census of 2.

Findings are:
Observation on 6/3/2015 at 10:25 a.m. revealed that the fire door in the two hour fire wall separating the clinic from the hospital, the North business office area did not self close and positive latch.

During an interview 6/3/2015 at 10:25 a.m. Maintenance A confirmed the finding.

Based on observation and interview, the facility failed to provide separation from the hazardous areas and rooms from the remainder of the building. This deficient practice would allow smoke and fire to spread into the exit corridors affecting the patients, staff and visitors of the hospital. The facility has a capacity of 17 and a census of 2.

Findings are:
1. Observation on 6/3/2015 at 10:20 a.m. revealed several 4 inch holes around pipes and cables, in the clinic mechanical room, just to the right of the room door.
2. Observation on 6/3/2015 at 10:32 a.m. revealed several small holes around pipes and cables in the ceiling of the elevator room.

During an interview 6/3/15 at 10:20 am and 10:32 am, Maintenance A confirmed the penetrations.

Based on observation and interview, the facility failed to have generator test logs provide detailed information about the proper functioning of the generator. This deficient practice has the potential to affect all staff, visitors and patients in the facility. The facility has a capacity of 17 and a census of 2.

Findings are:
Observation on 6/3/2015 at 11:00 a.m. revealed the generator testing logs failed to show gauge readings or fuel levels that would indicate a possible problem with the generator.

During an interview on 6/3/2015 at 11:00 a.m., Maintenance A confirmed the finding.

Based on observation and interview, the facility failed to provide a complete two hour fire separation between the hospital and clinic areas. This deficient practice would affect the business office staff and clinic staff by allowing for smoke and fire to spread to and from the clinic area to the business office area of the hospital. The facility has a capacity of 17 and a census of 2.

Findings are:
Observation on 6/3/2015 at 10:25 a.m. revealed that the fire door in the two hour fire wall separating the clinic from the hospital, the North business office area did not self close and positive latch.

During an interview 6/3/2015 at 10:25 a.m. Maintenance A confirmed the finding.

Based on observation and interview, the facility failed to provide separation from the hazardous areas and rooms from the remainder of the building. This deficient practice would allow smoke and fire to spread into the exit corridors affecting the patients, staff and visitors of the hospital. The facility has a capacity of 17 and a census of 2.

Findings are:
1. Observation on 6/3/2015 at 10:20 a.m. revealed several 4 inch holes around pipes and cables, in the clinic mechanical room, just to the right of the room door.
2. Observation on 6/3/2015 at 10:32 a.m. revealed several small holes around pipes and cables in the ceiling of the elevator room.

During an interview 6/3/15 at 10:20 am and 10:32 am, Maintenance A confirmed the penetrations.

Based on observation and interview, the facility failed to have generator test logs provide detailed information about the proper functioning of the generator. This deficient practice has the potential to affect all staff, visitors and patients in the facility. The facility has a capacity of 17 and a census of 2.

Findings are:
Observation on 6/3/2015 at 11:00 a.m. revealed the generator testing logs failed to show gauge readings or fuel levels that would indicate a possible problem with the generator.

During an interview on 6/3/2015 at 11:00 a.m., Maintenance A confirmed the finding.