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Based on observation the facility failed to provide proper separation at elevator lobby.
(2) Elevator shaft openings. When elevator shaft openings occur in a smoke compartment with patient sleeping rooms or occur in a smoke compartment adjacent to the patient sleeping rooms, the elevator shaft openings shall resist the passage of smoke by one of the following means.

(A) Provide a lobby with separation partitions to resist the passage of smoke from the means of egress. When elevator lobby space extends into the egress corridor, the means of egress from one side of the egress corridor through the lobby to the other side of the egress corridor is not permitted during emergency conditions.

(B) Provide a mechanical means of exhausting smoke from the elevator shaft. The smoke removal exhaust system for the elevator shaft shall operate automatically upon the initiation of the activation of the smoke detectors located in each elevator lobby, which also initiates automatic recall of the elevator cabs to the designated level of discharge. The activation of the smoke exhaust system shall provide a negative pressure at each level.

(C) Provide swinging doors that are held open by magnetic hold open devices and close the doors at the elevator door opening upon activation of the fire alarm system.

(D) Provide a horizontal automated moving door like a "Won-Door" two feet or more from the elevator door opening that will close automatically by the activation of the fire alarm system and have emergency capabilities of opening and closing.

Based on observation the facility failed to provide proper identification for fire walls, fire barriers, smoke barriers and smoke partitions. A maintenance schedule task, should be performed to make sure that all rated walls are properly identified.

All fire walls, fire barriers, fire partitions, smoke barriers, and smoke partitions shall be effectively and permanently identified with signs or stenciling per IBC 2012 section 703.7.

Based on observation the facility failed to provide protection for sprinkler head inside kitchen cooler/freezer.

Based on observation the facility failed to provide adequate support for low voltage wiring. A maintenance schedule task should be performed to make sure that all low voltage wires in the corridors are kept off the existing ceiling grid.

The following is a general statement for support for all wiring: "Secured in Place. Raceways, cable assemblies, boxes, cabinets, and fittings shall be securely fastened in place. Support wires that do not provide secure support shall not be permitted as the sole support. Support wires and associated fittings that provide secure support and that are installed in addition to the ceiling grid support wires shall be permitted as the sole support. Where independent support wires are used, they shall be secured at both ends. Cables and raceways shall not be supported by ceiling grids." - NFPA 70, 2002, 300.11

Based on observation the facility failed to provide proper signage at outdoor med gas "shut off" for manifold.
All boxes and enclosures (including transfer switches, generators, and power panels) for emergency circuits shall be permanently marked so they will be readily identified as a component of an emergency circuit or system - NFPA 70, 2012: 700.9(A).