HospitalInspections.org

Based on observation and interview, the facility failed to provide separation of a hazardous area from all other areas with a corridor door with a self closer. The area of deficient practice affected one of four smoke compartments. Census was 1.
Findings include:
Observation on 09-12-13 at 10:40 a.m. revealed that the Nurses Storage room did not have a self closer installed on the corridor door.
Interview with the Maintenance Supervisor on 09-12-13 at 10:40 a.m., revealed he was not aware the Nurses storage room needed a self closer device installed on the door.

Based on observation and interview, the facility failed to provide proper cubicle curtains. Not having the correct cubicle curtains puts all patients in one of four smoke zones at risk of fire injury or escape should a fire develop and the incorrect curtains obstruct the sprinkler system. The facility census was 1.
Findings are:
During the survey on 09-12-13 at 10:05 am., it was observed that the lab had a cubicle curtain without the required mesh of ? inch X ? inch. Interview with Maintenance " A " at 10:05 am confirmed the cubicle curtains did not have ? x ? inch mesh.

Based on observation and interview, the facility failed to provide proper electrical wiring throughout the facility. This places all patients, staff and visitors in one of four smoke zones at risk of shock or fire. Census was 1.
Findings are.
During the survey on 09-12-13 at 10:10 am, it was observed that there was an electrical extension cord for the freezer in the lab.
Interview with Maintenance " A " at 10:10 am confirmed the extension cord.

Based on observation and interview, the facility failed to properly install an alcohol based hand rub dispenser. This could affect the patients, visitors and staff in one of four smoke zones should a fire break out and rapidly spread due to the deficiency. Census was 1.
Findings Are:
During the survey on 09-12-13, at 10:27 A.M., it was observed that the alcohol-based hand rub dispenser in room 16 was installed closer than the required 12 inch min. horizontal distance from an electrical ignition source.
Interview with Maintenance "A" at 10:27 A.M. confirmed the deficient installation.

Based on observation and interview, the facility failed to provide separation of a hazardous area from all other areas with a corridor door with a self closer. The area of deficient practice affected one of four smoke compartments. Census was 1.
Findings include:
Observation on 09-12-13 at 10:40 a.m. revealed that the Nurses Storage room did not have a self closer installed on the corridor door.
Interview with the Maintenance Supervisor on 09-12-13 at 10:40 a.m., revealed he was not aware the Nurses storage room needed a self closer device installed on the door.

Based on observation and interview, the facility failed to provide proper cubicle curtains. Not having the correct cubicle curtains puts all patients in one of four smoke zones at risk of fire injury or escape should a fire develop and the incorrect curtains obstruct the sprinkler system. The facility census was 1.
Findings are:
During the survey on 09-12-13 at 10:05 am., it was observed that the lab had a cubicle curtain without the required mesh of ? inch X ? inch. Interview with Maintenance " A " at 10:05 am confirmed the cubicle curtains did not have ? x ? inch mesh.

Based on observation and interview, the facility failed to provide proper electrical wiring throughout the facility. This places all patients, staff and visitors in one of four smoke zones at risk of shock or fire. Census was 1.
Findings are.
During the survey on 09-12-13 at 10:10 am, it was observed that there was an electrical extension cord for the freezer in the lab.
Interview with Maintenance " A " at 10:10 am confirmed the extension cord.