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Based on observation and staff interview the facility failed to assure that no combustible materials are being stored in the boiler room. This deficient practice creates a fire hazard, affecting 1 out of 4 smoke zones. This facility has a capacity of 25 beds with a census of 7 residents at the time of the survey.

FINDINGS INCLUDE:

During the tour on 3/8/10 at 2:30 P.M. it was observed that 4' x 8' plywood, trim boards and carpet are being stored in the boiler room.

Staff M was present and aware of the finding.

Based on record review and staff interview the facility failed to assure that the generator is tested, inspected, and maintained in accordance with NFPA 99. This deficient practice fails to ensure the generator will properly operate in the event of a power outage, affecting 4 out of 4 smoke zones. This facility has a capacity of 25 beds with a census of 7 residents at the time of the survey.

FINDINGS INCLUDE:

During the tour on 3/8/10 at 11:00 A.M. the following was observed:

1.) No documentation available showing phase I and II AMPS, and phase III shows 10 AMPS every load test.

2.) No remote annunciator is located at a continuously monitored location.

Staff M was present and aware of the findings.

Based on observation and staff interview the facility failed to assure that the electrical outlets have been installed in accordance with NFPA 70. This deficient practice could cause an electrical failure or fire, affecting 3 of 4 smoke zones. This facility has a capacity of 25 beds with a census of 7 residents at the time of the survey.

FINDINGS INCLUDE:

During the tour on 3/8/10 between 1:00 pm and 3:00 pm, it was observed that the following rooms have electrical outlets by the wash sinks that are not GFCI protected:

1.) pharmacy room;
2.) maintenance locker room;
3.) nurse's pantry room.

Staff M was present and aware of the findings.

Based on observation and staff interview the facility failed to assure that no combustible materials are being stored in the boiler room. This deficient practice creates a fire hazard, affecting 1 out of 4 smoke zones. This facility has a capacity of 25 beds with a census of 7 residents at the time of the survey.

FINDINGS INCLUDE:

During the tour on 3/8/10 at 2:30 P.M. it was observed that 4' x 8' plywood, trim boards and carpet are being stored in the boiler room.

Staff M was present and aware of the finding.

Based on record review and staff interview the facility failed to assure that the generator is tested, inspected, and maintained in accordance with NFPA 99. This deficient practice fails to ensure the generator will properly operate in the event of a power outage, affecting 4 out of 4 smoke zones. This facility has a capacity of 25 beds with a census of 7 residents at the time of the survey.

FINDINGS INCLUDE:

During the tour on 3/8/10 at 11:00 A.M. the following was observed:

1.) No documentation available showing phase I and II AMPS, and phase III shows 10 AMPS every load test.

2.) No remote annunciator is located at a continuously monitored location.

Staff M was present and aware of the findings.

Based on observation and staff interview the facility failed to assure that the electrical outlets have been installed in accordance with NFPA 70. This deficient practice could cause an electrical failure or fire, affecting 3 of 4 smoke zones. This facility has a capacity of 25 beds with a census of 7 residents at the time of the survey.

FINDINGS INCLUDE:

During the tour on 3/8/10 between 1:00 pm and 3:00 pm, it was observed that the following rooms have electrical outlets by the wash sinks that are not GFCI protected:

1.) pharmacy room;
2.) maintenance locker room;
3.) nurse's pantry room.

Staff M was present and aware of the findings.