HospitalInspections.org
Bringing transparency to federal inspections
MADISON HOSPITAL
Fire Alarm System - Installation
Tag No.: K0341
Based on observations and staff interview the facility failed to install the smoke detection in accordance with NFPA 101 Life Safety Code (2012) section 19.3.4.1, 9.6.1.3 and NFPA 72 National Fire Alarm Code (2010) section 17.7.4.1. This deficient practice could affect the ability of the alarm system to sound in a timely manner during a fire event which could affect all visitor and staff.
Findings include:
On the facility tour between 09:30 am to 2:30 am on 06/28/2017 observations and staff interview revealed 2 smoke detectors with 36 inches of an HVAC diffuser.
1) Rm 111
2) Main Entrance Lobby
This deficient condition was confirmed by the Environmental Services Director.