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Tag No.: K0018
Based on observation and interview, the facility had several corridor room doors that did not meet the requirements of NFPA 101 LSC (00) Section 19.3.6.3.2. This deficient practice could affect the safety of 3 patients, staff and visitors, if smoke were allowed to enter the exit access corridors making it untenable.
Findings include:
On facility tour between 12:30 PM and 3:30 PM on 9/07/2011,
1. It was observed that the nurse's lounge had a transfer grill at the bottom of the door and the door did not positively latch when closed and,
2. The storage room by the nurse's station had a transfer grill at the bottom of the door,
3. The equipment room corridor door did not positively latch when closed not meeting the requirements with LSC (00), Section 19.3.6.3.2.
These deficient practices was verified by the Maintenance Supervisor.