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PALACIOS COMMUNITY MEDICAL CENTER
Means of Egress Requirements - Other
Tag No.: K0200
K200 Means of Egress Requirements - General
Findings:
The inspector observed, while accompanied by the CEO, during the hours of the inspection from 3:00 pm to 6:00 pm on 04/21/2023, that there were the following issues:
1) Based on review of the records, facility failed to perform inspection of doors in means of egress annually. There were no records for the year 2020 to 2023.
Building Services - Other
Tag No.: K0500
K500 Building Services - Other
Findings:
The inspector observed, while accompanied by the CEO, during the hours of the inspection from 3:00 pm to 6:00 pm on 04/21/2023, that there were the following issues:
1) Based on review of the records, facility failed to keep a logs of when filters were changed for each air handler.
Fire Drills
Tag No.: K0712
K712 Fire Drills
Findings:
The inspector observed, while accompanied by the CEO, during the hours of the inspection from 3:00 pm to 6:00 pm on 04/21/2023, that there were the following issues:
1) Based on review of the records, facility failed to write out the scenario description on the fire drill form.
Electrical Systems - Receptacles
Tag No.: K0912
K912 Electrical Systems - Receptacles
Findings:
The inspector observed, while accompanied by the CEO, during the hours of the inspection from 3:00 pm to 6:00 pm on 04/21/2023, that there were the following issues:
1) Based on review of the records, facility failed to perform yearly testing of hospital-grade receptacle in patient care areas.
Electrical Systems - Essential Electric Syste
Tag No.: K0918
K918 Electrical Systems - Essential Electric System Maintenance and Testing
Findings:
The inspector observed, while accompanied by the CEO, during the hours of the inspection from 3:00 pm to 6:00 pm on 04/21/2023, that there were the following issues:
1) Based on review of the records, facility failed to perform yearly inspection of the generator and load bank test.
2) Facility failed to perform four continuous hours load bank test every 36-month.
3) At the generator location, there was no light with 90-minute battery backup and a red electrical receptacle connected to the essential electric system.
Electrical Equipment - Testing and Maintenanc
Tag No.: K0921
K921 Biomedical electrical inspection reports
Findings:
The inspector observed, while accompanied by the CEO, during the hours of the inspection from 3:00 pm to 6:00 pm on 04/21/2023, that there were the following issues:
4) Based on review of the records, facility failed to maintain and store service manuals such that it is readily available upon request.