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GOOD SHEPHERD REHABILITATION HOSPITAL, THE
Building Construction Type and Height
Tag No.: K0161
Based on observation and interview, it was determined the facility failed to maintain building construction requirements, affecting four of four floors in this component.
Findings include:
1. Observation of building construction on October 5, 2021, between 12:00 p.m. and 1:00 p.m., revealed the component exceeded the maximum allowable story height for this type of construction.
Exit interview with the Facilities Director on October 6, 2021, between 10:45 a.m. and 11:00 a.m., confirmed the building construction deficiency.
Exit Signage
Tag No.: K0293
Based on observation and interview, it was determined the facility failed to install and maintain exit signage in one location, affecting one of four floors.
Findings include:
1. Observation on October 5, 2021, at 12:39 p.m., revealed the ground floor, Mechanical Room, lacked exit signage above the exit door.
Exit interview with the Facilities Director on October 6, 2021, between 10:45 a.m. and 11:00 a.m., confirmed the exit signage deficiency.
Corridor - Doors
Tag No.: K0363
Based on observation and interview, it was determined the facility failed to maintain corridor openings in four locations, affecting one of two floors.
Findings include:
1. Observation on October 6, 2021, between 9:22 a.m. and 9:45 a.m., revealed the following:
a. 9:22 a.m., the first floor, Dining Lounge door required adjustment to fully latch.
b. 9:33 a.m., the first floor, Janitor Closet door required adjustment to fully latch.
c. 9:40 a.m., the first floor, North Lounge door was not smoke-tight.
d. 9:45 a.m., the first floor, Patient Room 114 door was not smoke-tight.
Exit interview with the Facilities Director on October 6, 2021, between 10:45 a.m. and 11:00 a.m., confirmed the corridor opening deficiences.
Gas Equipment - Cylinder and Container Storag
Tag No.: K0923
Based on observation and interview, it was determined the facility failed to maintain cylinder storage in one location, affecting one of four floors.
Findings include:
1. Observation on October 5, 2021, at 12:22 p.m., revealed an unsecured oxygen cylinder, located within the Therapy Department.
Exit interview with the Facilities Director on October 6, 2021, between 10:45 a.m. and 11:00 a.m., confirmed the cylinder storage deficiency.