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Based on record review, observations, and staff interview, it was determined that the facility failed to ensure that the hospital was maintained to ensure the safety of patients.

Findings were:

Cross-refer to A-701 as it relates to failure of the facility to maintain all hospital systems and the physical plant;

Cross-refer to A-710 as it relates to failure of the facility to meet the Life Safety Code requirements of the National Fire Protection Association (NFPA);

Cross-refer to A-711 as it relates to failure of the facility to ensure that outside exits were provided with emergency lighting of 1 1/2 hour duration;

Cross-refer to A-716 as it relates to failure of the facility to meet the requirements for alcohol dispensers in health care facilities; and

Cross-refer to A-724 as it relates to failure of the facility to maintain the facility and equipment to provide a safe environment.

Based on record reviews, observations, and staff interview, it was determined that the facility failed to ensure that the condition of the facility's physical plant was maintained to ensure patient safety, placing all patients at risk.

Findings were:

Cross-refer to Life Safety Code Deficiencies K023, K025, K029, K034, K038, K046, K047, K052, K056, K076, K130, K145, and K147 as it relates to failure to maintain all hospital systems and the physical plant.

Based on record review, observations, and staff interview, it was determined that the facility failed to meet the applicable provisions of the Life Safety Code of the National Fire Protection Association (NFPA), placing all patients at risk.

Findings were:

Cross-refer to Life Safety Code deficiencies K023, K025, K029, K034, K038, K046, K047, K052, K056, K076, K130, K145, and K147 as it relates to failure of the facility to meet the Life Safety Code requirements of the NFPA.

Based on observation and staff interview, it was determined that the facility failed to ensure that the requirements for alcohol-based hand wash dispensers met requirements.

Findings were:

Cross-refer to Life Safety Code deficiency K130 as it relates to failure to meet the requirements for alcohol dispensers in health care facilities.

Based on record reviews, observation and staff interview, it was determined that the facility failed to maintain the facility and equipment to provide an acceptable level of safety, placing all patients at risk.

Findings were:

Cross-refer to Life Safety Code deficiencies K025, K029, K034, K038, K046, K047, K052, K056, K076, K130, K145, and K147 as it relates to failure to maintain the facility and equipment to provide a safe environment.

Based on observation and staff interview, it was determined that the facility failed to ensure that emergency lighting requirements were met.

Findings were:

Cross-refer to Life Safety Code deficiency K046 as it relates to failure to ensure that outside exits were provided with emergency lighting of 1 1/2 hour duration.