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BRYLIN HOSP
No Description Available
Tag No.: K0018
Based on observation the facility did not maintain the facility in compliance with NFPA 101.
Findings Include:
Observation during the tour on 8/11/11 between the hours of 10:30 am and 2:00 PM revealed roller latches on 18 patient room doors on the second and third floor (Room #'s 201, 213, 215, 216, 218, 219, 231, 246, 247, 249,313, 315, 316,318, 335, 346, 347, and 349.)
Observation during the tour on 8/11/11 revealed a dutch door on the nurses charting room (Room # 336.) This dutch door only included the bottom half of the door. The entire opening is required to be protected with an enclosure.
These findings were verified with Staff # 4 on 8/11/11.
No Description Available
Tag No.: K0029
Based on observation and interview the facility did not maintain the facility in compliance with NFPA 101.
Findings Include:
Observation during the tour on 8/11/11 between the hours of 10:30 AM and 2:00 PM revealed the furnace room (Room #113) is not protected with a one-hour separation or sprinkler as required by this regulation.
This finding was verified with Staff # 4 on 8/11/11.
No Description Available
Tag No.: K0074
Based on observation and interview the facility did not maintain the facility in compliance with NFPA 101.
Findings Include:
Stuffed furniture (two futons and one chair) located on the first floor in the teen lounge and in Room #118 are not approved for use in health care facilities.
Interview with Staff # 4 revealed there are no flame spread ratings for these furnishings.
No Description Available
Tag No.: K0147
Based on interview the facility did not maintain the facility in compliance with NFPA 101.
Findings Include:
Interview with Staff # 4 on 8/9/11 at 11:30 AM revealed Ground Fault Circuit Interrupters (GFCI) are not tested annually in accordance with this regulation.
LIFE SAFETY CODE STANDARD
Tag No.: K0018
Based on observation the facility did not maintain the facility in compliance with NFPA 101.
Findings Include:
Observation during the tour on 8/11/11 between the hours of 10:30 am and 2:00 PM revealed roller latches on 18 patient room doors on the second and third floor (Room #'s 201, 213, 215, 216, 218, 219, 231, 246, 247, 249,313, 315, 316,318, 335, 346, 347, and 349.)
Observation during the tour on 8/11/11 revealed a dutch door on the nurses charting room (Room # 336.) This dutch door only included the bottom half of the door. The entire opening is required to be protected with an enclosure.
These findings were verified with Staff # 4 on 8/11/11.
LIFE SAFETY CODE STANDARD
Tag No.: K0029
Based on observation and interview the facility did not maintain the facility in compliance with NFPA 101.
Findings Include:
Observation during the tour on 8/11/11 between the hours of 10:30 AM and 2:00 PM revealed the furnace room (Room #113) is not protected with a one-hour separation or sprinkler as required by this regulation.
This finding was verified with Staff # 4 on 8/11/11.
LIFE SAFETY CODE STANDARD
Tag No.: K0074
Based on observation and interview the facility did not maintain the facility in compliance with NFPA 101.
Findings Include:
Stuffed furniture (two futons and one chair) located on the first floor in the teen lounge and in Room #118 are not approved for use in health care facilities.
Interview with Staff # 4 revealed there are no flame spread ratings for these furnishings.
LIFE SAFETY CODE STANDARD
Tag No.: K0147
Based on interview the facility did not maintain the facility in compliance with NFPA 101.
Findings Include:
Interview with Staff # 4 on 8/9/11 at 11:30 AM revealed Ground Fault Circuit Interrupters (GFCI) are not tested annually in accordance with this regulation.