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SELECT SPECIALTY HOSPITAL-TRICITIES
No Description Available
Tag No.: K0029
Based on observation, the facility failed to have self-closing doors to hazardous areas.
The findings include:
Observation on 2/2/16 between 10:30 AM and 11:00 AM revealed the following hazardous area doors were not self-closing:
1. Pharmacy storage room door by the nursing station.
2. Respiratory office/storage room.
3. Medical records office/storage room.
These findings were verified by the life safety officer and acknowledged by the administrator during the exit conference.
No Description Available
Tag No.: K0130
Based on observation and interview, the facility failed to maintain fire door assemblies.
The findings include:
Observation and interview with the life safety officer with on 2/2/16 at 11:30 AM revealed the following fire doors have been altered from the original design and assembly:
1. 1½ fire doors entering select specialty hospital by the material office has the lower latching rods but the floor receivers have been removed when new flooring was replaced.
2. 3 of 3 20 minute cross corridor fire doors have the lower latching rods but the floor receivers have been removed when new flooring was replaced.
These findings were verified by the life safety officer and acknowledged by the administrator during the exit conference.
NFPA 80
2-1.2 Components.
A fire door assembly shall consist of components that are separate products incorporated into the assembly and allowed to have their own subcomponents. The normal components of a fire door assembly include a door, a door frame, hinges, a lock or latch, and a closing device. They also include, but are not limited to, an astragal, an automatic louver, a coordinator, flush or surface bolts, gasketing, a holder/release device, protection plates, and glazing materials.
2-5.2 Manufacturers ' Instructions.
All components shall be installed in accordance with the manufacturers ' installation instructions and shall be adjusted to function as described in the listing.
15-2.1.1*
Hardware shall be examined frequently and any parts found to be inoperative shall be replaced immediately.
15-2.5.3
Where a fire door, frame, or any part of its appurtenances is damaged to the extent that it could impair the door ' s proper emergency function, it shall be repaired with parts obtained from the door ' s manufacturer. Upon completion of the repairs, the door shall be tested to ensure emergency operation and closing.