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CARRUS LAKESIDE HOSPITAL
Sprinkler System - Installation
Tag No.: K0351
Based on observation and staff interview, the facility failed to provide sprinkler protection for 1 of 3 halls. Findings:
1. A tour of the facility was conducted on 03/25/2024, and the following observation was made:
North Hall
The electrical closet on the north hall was not sprinkler protected.
2. The maintenance supervisor was present during the tour of the facility and acknowledged the electrical closet was not sprinkler protected.
Spinkler System - Installation
2012 NEW
Buildings are to be protected throughout by an approved automatic sprinkler system in accordance with NFPA 13, Standard for the Installation of Sprinkler Systems.
In Type I and II construction, alternative protection measures are permitted to be substituted for sprinkler protection in specific areas where state and local regulations prohibit sprinklers.
Listed quick-response or listed residential sprinklers are used throughout smoke compartments with patient sleeping rooms.
In hospitals, sprinklers are not required in clothes closets of patient sleeping rooms where the area of the closet does not exceed six square feet and sprinkler coverage covers the closet footprint as required by NFPA 13, Standard for Installation of Sprinkler Systems.
18.3.5.1, 18.3.5.4, 18.3.5.5, 18.3.5.6, 9.7, 9.7.1.1(1), 18.3.5.10
Smoking Regulations
Tag No.: K0741
Based on observations and staff interview, the facility failed to maintain and provide approved smoking equipment 1 of 1 outside smoking areas. Findings:
1. A tour of the facility was conducted on 03/25/2024 and the following observation was made:
An outside smoking area was observed on the northeast side of the building. There was a open top coffee can being used as a ashtray. Also by the main entrance was a plastic smoke tower. An approved all-steel smoke tower or ashtrays were not provided for the safe disposal of the cigarette butts.
2. The maintenance supervisor was present during the tour of the facility and stated he would address the problems with the smoking and provide equipment in designated smoking areas as soon as possible.