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ST VINCENT CHARITY MEDICAL CENTER
No Description Available
Tag No.: K0018
Based on observation and interview, the facility failed to ensure doors protecting corridor openings had means suitable for keeping closed. This has the potential to affect all patients, staff and visitors to the facility.
Findings include:
On 08/10/15 at 4:30 PM observation of patient room 223 revealed it was on a magnetic release to close. However, a computer on wheels was observed to be in its path of travel preventing the magnetic release from closing the door.
On 08/10/15 at 4:30 PM in an interview, Staff Q confirmed the observation.
On 08/11/15 at 2:56 PM observation of patient room 223 revealed it had a wet floor sign in its path of travel preventing the magnetic release from closing the door.
On 08/11/15 at 2:57 PM in an interview, Staff Q confirmed the observation.
No Description Available
Tag No.: K0029
21521
Based on observation and interview, the facility failed to maintain the rating of the protective construction surrounding, and have doors on self closers leading to, hazardous areas. This has the potential to affect all patients, staff, and visitors to the facility.
Findings include:
On 08/10/15 at 3:45 PM observation of the soiled utility room located within the recovery room on the third floor revealed it continued to not have automatic sprinkler protection, walls with fire resistive ratings, and a door without a self closing device. Also observed was signage on the wall immediately next to the door frame that read "soiled utility." A "danger" sign was observed posted on the door.
On 08/10/15 at 3:45 PM in an interview, Staff Q confirmed the observation. He/she stated the room was to be decommissioned as a soiled utility room.
This was not stated on the plan of correction dated 04/17/15.
On 08/11/15 at 2:56 PM the room was revisited. The "soiled utility" sign on the wall and the "danger" sign on the door were still posted.
On 08/11/15 at 4:15 PM at exit, Staff Q stated he/she wasn't sure whether the room was to be decommissioned after all.
31007
No Description Available
Tag No.: K0033
Based on observation and interview, the facility failed to maintain the fire rated walls of the exit access corridors. This has the potential to affect all patients, staff, and visitors to the facility.
Findings include:
On 08/11/15 at 11:30 AM in an interview, Staff Q explained the one hour East barrier on the first floor that runs north/south along the pulmonary services suite and on the opposite side of the corridor outside the PSCCU suite has been decommissioned.
On 08/11/15 at 11:54 AM in an interview, Staff Q explained the barrier had been part of an exit access corridor leading from the stairway near room 121 (in the pulmonary services suite). He/she explained this is a way of addressing the penetrations found during the survey.
The plan of correction dated 04/17/15 does not state this.
On 08/11/15 at 1:38 PM observation above the drop down ceiling above the echo laboratory sign on said wall on the first floor of the ancillary building revealed a one inch annular penetration and a one and a half annular penetration with white data cables passing through remained.
On 08/11/15at 1:38 PM in an interview, Staff Q confirmed the observation.
31007