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Tag No.: K0017
Based on observations, the facility failed to properly protect corridors in accordance with NFPA 101 sections 19.3.6.1. The deficiency affected one (1) of five (5) smoke compartments and two (2) of eight (8) patients on the day of the survey.
On 7/12/16 at 11:50 AM, observation revealed the Vending Room requires a smoke detector because it is open to the main corridor of the facility.
The finding was acknowledged by the Administrator and Maintenance Supervisor verified this observation during the exit interview on 7/12/16.
Tag No.: K0022
Based on observations, the facility failed to correctly label exits in accordance with 19.2.10.1. The deficient practice affected three (3) of five (5) smoke compartments and six (6) of eight (8) patients on the day of the survey.
Findings Include:
On 7/12/16 at 3:13 PM, observation revealed exit signs are needed in the following areas of the facility:
1. Above the smoke barrier doors near Room 121
2. Above the exit door near Room 112
3. Above the smoke barrier doors near Room 105
The finding was acknowledged by the Administrator and Maintenance Supervisor verified this observation during the exit interview on 7/12/16.
Tag No.: K0025
Based on observations, the facility failed to provide a one half hour rating in accordance with NFPA 101 sections 8.3, 19.3.7.3, 19.3.7.5.The deficient practice affected two (2) of five (5) smoke compartments and three (3) of eight (8) patients on the day of the survey.
Findings Include:
On 7/12/16 at 2:55 PM, observation revealed open penetrations above lay-in ceiling in the smoke barrier walls near Crook Unit and Patient Room 105 of the facility.
The finding was acknowledged by the Administrator and Maintenance Supervisor during the exit interview on 7/12/16.
Tag No.: K0038
Based on observations and testing, the facility failed to properly maintain the exit egress as required by NFPA 101 sections 19.2.1, 7.7. The deficiency affected one (1) of five (5) smoke compartments and three (3) of eight (8) residents on the day of the survey.
Findings Include:
On 7/12/16 at 11:40 AM, observation revealed double key dead bolt locked door was blocking egress door to Senior Care Unit of the facility. It was noted that one (1) of these two (2) swinging doors was locked.
The finding was acknowledged by the Administrator and Maintenance Supervisor verified this observation during the exit interview on 7/12/16.