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Tag No.: K0018
Facility failed to maintain door protection in accordance with the 2000 edition of the Life Safety Code, NPFA 101. Findings included the following:
Surveyor observed between 1:30 and 2:30 pm on 1/14/14 that patient room doors may have deadbolt locks installed. Any licensed patient rooms being used for offices shall not have deadbolt locks installed.
Tag No.: K0051
Facility failed to maintain fire alarm electrical in accordance with NFPA 72. Findings included the following:
Surveyor observed between 1:30 and 2:00 pm on 1/14/14 that fire alarm main panel FACP was not labeled to indicate power circuit.
Tag No.: K0056
Facility failed to maintain sprinkler system in accordance with NPFA 25. Findings included the following:
Surveyor observed between 1:30 and 2:30 pm on 1/14/14 that facility records indicated that a frozen flow switch was needing to be repaired from a 10/24/13 inspection report.
Tag No.: K0140
Facility failed to maintain medical gas system in accordance with the 1999 edition of the Standard for Health Care Facilities, NFPA 99. Findings included the following:
Surveyor observed between 1:30 and 2:30 pm on 1/14/14 that only one master alarm panel for oxygen was located in the hospital at the nurse station. An additional will be required.
Tag No.: K0018
Facility failed to maintain door protection in accordance with the 2000 edition of the Life Safety Code, NPFA 101. Findings included the following:
Surveyor observed between 1:30 and 2:30 pm on 1/14/14 that patient room doors may have deadbolt locks installed. Any licensed patient rooms being used for offices shall not have deadbolt locks installed.
Tag No.: K0051
Facility failed to maintain fire alarm electrical in accordance with NFPA 72. Findings included the following:
Surveyor observed between 1:30 and 2:00 pm on 1/14/14 that fire alarm main panel FACP was not labeled to indicate power circuit.
Tag No.: K0056
Facility failed to maintain sprinkler system in accordance with NPFA 25. Findings included the following:
Surveyor observed between 1:30 and 2:30 pm on 1/14/14 that facility records indicated that a frozen flow switch was needing to be repaired from a 10/24/13 inspection report.
Tag No.: K0140
Facility failed to maintain medical gas system in accordance with the 1999 edition of the Standard for Health Care Facilities, NFPA 99. Findings included the following:
Surveyor observed between 1:30 and 2:30 pm on 1/14/14 that only one master alarm panel for oxygen was located in the hospital at the nurse station. An additional will be required.