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AVERA TYLER HOSPITAL
No Description Available
Tag No.: K0029
Based on observation, the facility failed to maintain a hazardous area door in accordance with NFPA 101 (00), Chapter 19, Section 19.3.2.1 and 19.3.6.3.2, and Chapter 8, Section 8.2.3.2.3.2. In a fire emergency, this deficient practice could adversely affect 10 of 20 patients, staff and visitors.
FINDINGS INCLUDE:
On 08/22/2013 at 10:50 AM, observation revealed the corridor door to the Soiled Linen Room adjacent to Patient Room 118, did not self-close, as the door was not equipped with an automatic door closing device.
This finding was confirmed with the chief building engineer.
No Description Available
Tag No.: K0056
Based on observation, the facility failed to maintain an automatic fire sprinkler system in accordance with NFPA 101 (2000) Chapter 19, Section 19.3.5 and NFPA 13 (1999). In a fire emergency, this deficient practice could adversely affect 2 of 20 residents, staff and visitors.
FINDINGS INCLUDE:
On 08/22/2013 between 10:00 AM and 2:30 PM, observation revealed room divider curtains installed in Resident Rooms 160 and 170, were not manufactured with the required 1/2-inch minimum diagonal mesh at the tops of the curtains. As such, these non-conforming curtains could create obstructions to the full development of the fire sprinkler spray pattern.
These findings were confirmed with the chief building engineer.
LIFE SAFETY CODE STANDARD
Tag No.: K0029
Based on observation, the facility failed to maintain a hazardous area door in accordance with NFPA 101 (00), Chapter 19, Section 19.3.2.1 and 19.3.6.3.2, and Chapter 8, Section 8.2.3.2.3.2. In a fire emergency, this deficient practice could adversely affect 10 of 20 patients, staff and visitors.
FINDINGS INCLUDE:
On 08/22/2013 at 10:50 AM, observation revealed the corridor door to the Soiled Linen Room adjacent to Patient Room 118, did not self-close, as the door was not equipped with an automatic door closing device.
This finding was confirmed with the chief building engineer.
LIFE SAFETY CODE STANDARD
Tag No.: K0056
Based on observation, the facility failed to maintain an automatic fire sprinkler system in accordance with NFPA 101 (2000) Chapter 19, Section 19.3.5 and NFPA 13 (1999). In a fire emergency, this deficient practice could adversely affect 2 of 20 residents, staff and visitors.
FINDINGS INCLUDE:
On 08/22/2013 between 10:00 AM and 2:30 PM, observation revealed room divider curtains installed in Resident Rooms 160 and 170, were not manufactured with the required 1/2-inch minimum diagonal mesh at the tops of the curtains. As such, these non-conforming curtains could create obstructions to the full development of the fire sprinkler spray pattern.
These findings were confirmed with the chief building engineer.