HospitalInspections.org
Bringing transparency to federal inspections
MESA HILLS SPECIALTY HOSPITAL
Means of Egress Requirements - Other
Tag No.: K0200
K200 Inspection of Doors in Means of Egress - Records
Findings:
The inspector observed, while accompanied by the Director of Plant Operations, during the hours of the inspection from 8:00 AM to 11:30 AM on 08/08/18, that there were the following issues:
1) Based on staff interview, the facility has not yet implemented inspection of doors in means of egress.
HVAC
Tag No.: K0521
K521 HVAC
Findings:
The inspector observed, while accompanied by the Director of Plant Operations, during the hours of the inspection from 8:00 AM to 11:30 AM on 08/08/18, that there were the following issues:
1) Based on staff interview, final filters, and filter frames were not visually inspected for pressure drop and for bypass on a consistent frequency interval.
Electrical Systems - Maintenance and Testing
Tag No.: K0914
K914 Electrical Systems - Maintenance and Testing
Findings:
The inspector observed, while accompanied by the Director of Plant Operations, during the hours of the inspection from 8:00 AM to 11:30 AM on 08/08/18, that there were the following issues:
1) There was no record to show that facility was conducting receptacle testing in patient care areas. Staff indicated that he was relatively a new hire and thus was unfamiliar where his predecessor kept the records. Hospital needs to develop better record management system in order to maintain continuity of service and deliver acceptable performance standards.