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Based on visual observation the facility failed to assure the construction of the smoke barrier walls. The walls are required to be continuous and properly protected from penetrations and gaps. Unprotected penetrations would permit the movement of smoke from one compartment to the other in the facility. The deficient practice had the potential to affect 138 of 138 residents. Finding: During the facility tour on 4/11/2014 between the hours of 8;00 am and 4:30 pm observation revealed unsealed penetrations at these locations.
1) 4th fl. barrier wall by Bio-hazard room.
2) 4th fl. flex conduit above barrier doors
3) 3rd Fl. barrier wall senior care
4) 3rd fl. barrier wall adult
5) 2nd fl. barrier wall adolescence
6) 2nd fl. barrier boys adolescence
7) 1st fl. barrier wall BPM & CDU
8) 1st fl. barrier wall to MOB
9) 1st floor south stairwell
10) Remove wood from ceiling adult AEU

Based on visual observation the facility failed to provide exterior and interior emergency lighting with two bulbs in order to prevent total darkness when one bulb fails. Additionally , the exit discharge and exit egress shall be provided with lighting in emergency situations during day time or night time hours. The deficient practice had the potential to affect 40 of 138 residents. Finding: During the facility tour on 4/11/2014 between the hours of 8:00 am and 4:30 pm observation revealed emergency light missing.

Based on visual observation, the facility failed to assure that all smoking areas were supplied with a metal, self-closing container. cigarette butts shall be extinguished in an approved container in order to prevent accidental combustion. This deficient practice could potentially affect 50 of 50 residents.
Finding:
During the facility tour on 4/11/2014 between the hours of 8:00 am and 4:30 pm observation revealed combustible type ashtrays.

Based on observation this facility failed to assure electrical wiring and electrical panels were secure in a safety manor, that will allow operating and maintenance without danger to technical personal or residents. Deficient practice have the potential to affect 20 0f 138 residents.
Finding:
During tour of facility on 4/11/2014 observation revealed no cover on junction box in ceiling to MOB.

Based on visual observation the facility failed to assure the construction of the smoke barrier walls. The walls are required to be continuous and properly protected from penetrations and gaps. Unprotected penetrations would permit the movement of smoke from one compartment to the other in the facility. The deficient practice had the potential to affect 138 of 138 residents. Finding: During the facility tour on 4/11/2014 between the hours of 8;00 am and 4:30 pm observation revealed unsealed penetrations at these locations.
1) 4th fl. barrier wall by Bio-hazard room.
2) 4th fl. flex conduit above barrier doors
3) 3rd Fl. barrier wall senior care
4) 3rd fl. barrier wall adult
5) 2nd fl. barrier wall adolescence
6) 2nd fl. barrier boys adolescence
7) 1st fl. barrier wall BPM & CDU
8) 1st fl. barrier wall to MOB
9) 1st floor south stairwell
10) Remove wood from ceiling adult AEU

Based on visual observation the facility failed to provide exterior and interior emergency lighting with two bulbs in order to prevent total darkness when one bulb fails. Additionally , the exit discharge and exit egress shall be provided with lighting in emergency situations during day time or night time hours. The deficient practice had the potential to affect 40 of 138 residents. Finding: During the facility tour on 4/11/2014 between the hours of 8:00 am and 4:30 pm observation revealed emergency light missing.

Based on visual observation, the facility failed to assure that all smoking areas were supplied with a metal, self-closing container. cigarette butts shall be extinguished in an approved container in order to prevent accidental combustion. This deficient practice could potentially affect 50 of 50 residents.
Finding:
During the facility tour on 4/11/2014 between the hours of 8:00 am and 4:30 pm observation revealed combustible type ashtrays.

Based on observation this facility failed to assure electrical wiring and electrical panels were secure in a safety manor, that will allow operating and maintenance without danger to technical personal or residents. Deficient practice have the potential to affect 20 0f 138 residents.
Finding:
During tour of facility on 4/11/2014 observation revealed no cover on junction box in ceiling to MOB.