HospitalInspections.org

Based on visual observation the facility failed to provide positive latching devices to cross corridor doors in the X- ray suite. This deficiency if not corrected could have the potential to cause harm to 3 patients.

Findings: During tour of building on 5-3-2012 between the hours of 10:00 a.m. and 3:30 p.m. the cross corridor doors protecting the X-ray suite from the lobby were observed with no positive latching devices.

Based on visual observation the facility failed to provide a adequate number of exit signs in the outpatient surgery area of the hospital. This deficiency if not corrected could affect 4 patients if they were not familiar with the exit doors to the egress corridor

Findings: During tour of building on 5-1-2012 between the hours of 10:00 a.m. and 3:30 p.m. observation of the out patient surgery area of the hospital revealed there were no exit signs installed above the door in front of outpatient surgery waiting, none in the waiting room above the exit door, and none above the door exiting out of outpatient surgery corridor to the waiting room.

Based on visual observation the facility failed to provide the rating of the 1 hour fire wall protecting the lab storage room from other parts of the building. This deficiency if not corrected could have the potential to cause harm to 2 patients if not corrected.

Findings: During tour of building on 5-1-2012 between the hours of 10:00 a.m. and 3:30 p.m. the 1 hour fire wall protecting the lab storage area was observed having a flex duct penetrating it. The duct was not protected with a fusible link to close the opening in case of a fire.
NFPA 90A requires duct work in 1 hour fire walls be protected by fusible links.

Based on visual observation the facility failed to provide a hard and reliable surface to the public way in 1 of 17 exit discharge routes. This deficiency if not corrected could have the potential to cause harm to 4 patients if not corrected.

Findings: During tour of building on 5-3-2012 between the hours of 10:00 a.m. and 3:30 p.m. the exit discharge from the ICU corridor was observed not being constructed of a hard and reliable surface to ensure non-ambulatory patients egress to the public way in case of a fire emergency.

Based on visual observation the facility failed to provide positive latching devices to cross corridor doors in the X- ray suite. This deficiency if not corrected could have the potential to cause harm to 3 patients.

Findings: During tour of building on 5-3-2012 between the hours of 10:00 a.m. and 3:30 p.m. the cross corridor doors protecting the X-ray suite from the lobby were observed with no positive latching devices.

Based on visual observation the facility failed to provide a adequate number of exit signs in the outpatient surgery area of the hospital. This deficiency if not corrected could affect 4 patients if they were not familiar with the exit doors to the egress corridor

Findings: During tour of building on 5-1-2012 between the hours of 10:00 a.m. and 3:30 p.m. observation of the out patient surgery area of the hospital revealed there were no exit signs installed above the door in front of outpatient surgery waiting, none in the waiting room above the exit door, and none above the door exiting out of outpatient surgery corridor to the waiting room.

Based on visual observation the facility failed to provide the rating of the 1 hour fire wall protecting the lab storage room from other parts of the building. This deficiency if not corrected could have the potential to cause harm to 2 patients if not corrected.

Findings: During tour of building on 5-1-2012 between the hours of 10:00 a.m. and 3:30 p.m. the 1 hour fire wall protecting the lab storage area was observed having a flex duct penetrating it. The duct was not protected with a fusible link to close the opening in case of a fire.
NFPA 90A requires duct work in 1 hour fire walls be protected by fusible links.

Based on visual observation the facility failed to provide a hard and reliable surface to the public way in 1 of 17 exit discharge routes. This deficiency if not corrected could have the potential to cause harm to 4 patients if not corrected.

Findings: During tour of building on 5-3-2012 between the hours of 10:00 a.m. and 3:30 p.m. the exit discharge from the ICU corridor was observed not being constructed of a hard and reliable surface to ensure non-ambulatory patients egress to the public way in case of a fire emergency.