HospitalInspections.org

Based on observation, it was determined that the facility failed to ensure that corridor walls are smoke resistive.

Findings include:

On 1/6/14 at 12:00 PM, in the presence of Staff #4, there were three penetrations in the smoke rated wall in the Stress Testing Room.

Based on observation, it was determined that the facility failed to ensure that there are no impediments to closing of doors.

Findings include:

On 1/6/14 at 10:30 AM, in the presence of Staff #4, the Receiving Room door was blocked open with a brick, preventing the automatic closing of the door.

Based on observation, it was determined that the facility failed to ensure that stairwells are maintained in accordance with Life Safety Code (LSC) 7.2.

Findings include:

On 1/6/14 at 10:40 AM, in the presence of Staff #4, there was storage of materials in Stairwell #4, #5, and #6.

Based on observation, it was determined that the facility failed to ensure that corridors are maintained clear and unobstructed.

Findings include:

On 1/6/14 at 10:55 AM, in the presence of Staff #4, the exit access in the Kitchen was reduced from the required 4 feet to 2 feet, due to a cart blocking the access.

Based on observation, it was determined that the facility failed to ensure that exit doors can be opened in the event of an emergency.

Findings include:

1. On 1/6/14 at 11:10 AM, in the presence of Staff #4, the exit door to the Doctor's Parking Lot did not instantly open.

2. On 1/6/14 at 12:05 PM, in the presence of Staff #4, the exit door in the hallway to the MRI Trailer, did not instantly open.

Based on observation, it was determined that the facility failed to ensure that alcohol based hand rub (ABHR) dispensers are not installed above ignition sources.

Findings include:

1. On 1/6/14 at 10:30 AM, in the presence of Staff #4, an ABHR was mounted above an electrical outlet in the pre-admission corridor.

2. On 1/9/14 at 10:10 AM, in the presence of Staff #4, an ABHR was mounted above an electrical outlet in Room #303.

3. On 1/9/14 at 10:25 AM, in the presence of Staff #4, an ABHR was mounted above an electrical outlet in Room #304.

4. On 1/9/14 at 10:30 AM, in the presence of Staff #4, an ABHR was mounted above an electrical outlet in Room #310.

5. On 1/9/14 at 11:05 AM, in the presence of Staff #4, an ABHR was mounted above an electrical outlet in Nursery #1.

6. On 1/9/14 at 11:25 AM, in the presence of Staff #4, an ABHR was mounted above an electrical outlet in Room #488.

Based on observation, it was determined that the facility failed to ensure that corridor walls are smoke resistive.

Findings include:

On 1/6/14 at 12:00 PM, in the presence of Staff #4, there were three penetrations in the smoke rated wall in the Stress Testing Room.

Based on observation, it was determined that the facility failed to ensure that there are no impediments to closing of doors.

Findings include:

On 1/6/14 at 10:30 AM, in the presence of Staff #4, the Receiving Room door was blocked open with a brick, preventing the automatic closing of the door.

Based on observation, it was determined that the facility failed to ensure that stairwells are maintained in accordance with Life Safety Code (LSC) 7.2.

Findings include:

On 1/6/14 at 10:40 AM, in the presence of Staff #4, there was storage of materials in Stairwell #4, #5, and #6.

Based on observation, it was determined that the facility failed to ensure that corridors are maintained clear and unobstructed.

Findings include:

On 1/6/14 at 10:55 AM, in the presence of Staff #4, the exit access in the Kitchen was reduced from the required 4 feet to 2 feet, due to a cart blocking the access.

Based on observation, it was determined that the facility failed to ensure that exit doors can be opened in the event of an emergency.

Findings include:

1. On 1/6/14 at 11:10 AM, in the presence of Staff #4, the exit door to the Doctor's Parking Lot did not instantly open.

2. On 1/6/14 at 12:05 PM, in the presence of Staff #4, the exit door in the hallway to the MRI Trailer, did not instantly open.