HospitalInspections.org

Based on observations made during review of the logs, policies and procedures of the facility between the hours of 1:30 pm and 5:30 pm, while acompanied by the Director Of Maintenance, the facility failed to provide logs documenting that the required fire drills were performed.

Based on observations made during review of the logs, policies and procedures of the facility between the hours of 1:30 pm and 5:30 pm, while acompanied by the Director Of Maintenance, the facility failed to provide logs documenting that fire alarm system was tested monthly as required.

Based on observations made during review of the logs, policies and procedures of the facility between the hours of 1:30 pm and 5:30 pm, while acompanied by the Director Of Maintenance, the facility failed to provide a record of tests on the Electrical Power Distribution and Grounding Systems. This is required once per year in general care areas.

Based on observations made during review of the logs, policies and procedures of the facility between the hours of 1:30 pm and 5:30 pm, while acompanied by the Director Of Maintenance, the facility failed to provide logs documenting testing of the Emergency Generator every 36 - 48 months under full load for at least 4 hours as required.

Based on observations made during review of the logs, policies and procedures of the facility between the hours of 1:30 pm and 5:30 pm, while acompanied by the Director Of Maintenance, the facility failed to provide acceptable permanant labels on the essential electrical system panels identifying them as " Life Safety " , and " Critical ".