HospitalInspections.org
Bringing transparency to federal inspections
MID-VALLEY HOSPITAL
No Description Available
Tag No.: K0011
Based on observation and interview, it was determined the facility failed to maintain one common wall, on one of four floors of the component.
Findings include:
1. Observation on June 11, 2013, at 11:10 AM revealed the common wall doors, located in the Radiology corridor, would not close and latch.
Exit interview with the facility administrator and facility representative #1 on June 11, 2013, between 1:00 PM and 1:10 PM confirmed the door required an adjustment.
No Description Available
Tag No.: K0012
Based on observation and interview, it was determined the facility failed to maintain building construction requirements on four of four floors within the component.
Findings include:
1. Observation on June 11, 2013, between 9:00 AM and 1:00 PM revealed the facility exceeded the maximum allowable story height for this type of construction.
Exit interview with the facility administrator and facility representative #1 on June 11, 2013, between 1:00 PM and 1:10 PM confirmed the facility exceeded the maximum allowable story height for this type of construction and identified the facility has an acceptable FSES, reviewed on June 11, 2013, addressing this issue.
No Description Available
Tag No.: K0018
Based on observation and interview, it was determined the facility failed to properly maintain corridor doors in three instances, on two of three floors within this component.
Findings include:
1. Observation on June 11, 2013, between 12:10 PM and 12:15 PM revealed the following corridor doors required an adjustment:
a. 12:10 PM - The third floor (facility second floor) resident room #234 would not close and latch in its frame properly.
b. 12:12 PM - The second floor (facility first floor) resident room #138 would not close and latch in its frame properly.
c. 12:15 PM - The second floor (facility first floor) resident room #137 would not close and latch in its frame properly.
Exit interview with the facility administrator and facility representative #1 on June 11, 2013, between 1:00 PM and 1:10 PM confirmed the doors would not close and latch in their frames.
No Description Available
Tag No.: K0029
Based on observation and interview, it was determined the facility failed to maintain one hazardous area, on one of four floors within the component
Findings include:
1. Observation on June 11, 2013, at 11:20 AM revealed the door to the Radiology File Storage Room lacked a self-closing device.
Exit interview with the facility administrator and facility representative #1 on June 11, 2013, between 1:00 PM and 1:10 PM confirmed the door lacked a self-closing device.
No Description Available
Tag No.: K0032
Based on observation and interview, it was determined the facility failed to provide two exits, remote one from another, on one of four floors within the component.
Findings include:
1. Observation on June 11, 2013, between 9:00 AM and 1:00 PM revealed the lack of a second acceptable means of exiting from the fourth floor (facility's third floor.)
Exit interview with the facility administrator and facility representative #1 on June 11, 2013, between 1:00 PM and 1:10 PM confirmed the lack of a second acceptable means of exiting the fourth floor and identified that the facility has an acceptable FSES, reviewed on June 11, 2013, addressing this issue.
No Description Available
Tag No.: K0034
Based on observation and interview, the facility failed to properly maintain one of two exit stair towers within the component.
Findings include:
1. Observation on June 11, 2013, at 12:05 PM revealed the third floor (facility second floor) OR exit stair tower had a damaged stair tread with loose tiles and nosing.
Exit interview with the facility administrator and facility representative #1 on June 11, 2013, between 1:00 PM and 1:10 PM confirmed the exit stair tower deficiency.
No Description Available
Tag No.: K0047
Based on observation and interview, it was determined the facility failed to maintain illuminated exit signage in one instance, on one of four floors within the component.
Findings include:
1. Observation on June 11, 2013, at 11:30 AM revealed the exit sign, located at the ER exit, was not illuminated.
Exit interview with the facility administrator and facility representative #1 on June 11, 2013, between 1:00 PM and 1:10 PM confirmed the exit sign was not illuminated.
No Description Available
Tag No.: K0056
Based on observation and interview, it was determined the facility failed to provide complete automatic sprinkler coverage on one of four floors within the component.
Findings include:
1. Observation on June 11, 2013, at 11:05 AM revealed the top of the ER stair tower lacked automatic sprinkler coverage.
Exit interview with the facility administrator and facility representative #1 on June 11, 2013, between 1:00 PM and 1:10 PM confirmed the area lacked required automatic sprinkler coverage.
No Description Available
Tag No.: K0062
Based on observation and interview, it was determined the facility failed to maintain the required sprinkler systems in one instance, within the penthouse.
Findings include:
1. Observation on June 11, 2013, at 11:58 AM revealed the sprinkler piping located in the penthouse had pneumatic lines attached to sprinkler piping.
Exit interview with the facility administrator and facility representative #1 on June 11, 2013, between 1:00 PM and 1:10 PM confirmed the sprinkler deficiency.
No Description Available
Tag No.: K0064
Based on observation and interview, it was determined the facility failed to maintain portable fire extinguishers in two instances, on one of four floors within the component.
Findings include:
1. Observation on June 11, 2013, between 11:35 AM and 11:38 AM revealed the following fire extinguisher deficiencies:
a. 11:35 AM - The fire extinguisher located in the Bio Med room had an inspection label attached to the fire extinguisher dated 2006.
b. 11:38 AM - The fire extinguisher located in the Lab was obstructed with boxes.
Exit interview with the facility administrator and facility representative #1 on June 11, 2013, between 1:00 PM and 1:10 PM confirmed the fire extinguisher deficiencies.
No Description Available
Tag No.: K0144
Based on documentation review and interview, it was determined the facility failed to maintain the emergency power supply system within the facility.
Findings include:
1. Documentation review on June 11, 2013, at 9:20 AM revealed the facility lacked documentation for the required monthly exercising of the emergency generator, under load for 30 minutes.
Exit interview with the facility administrator and facility representative #1 on June 11, 2013, between 1:00 PM and 1:10 PM confirmed the emergency power supply system deficiency.