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Tag No.: K0012
Based on observations and interviews made on 10/10/12, the facility failed to ensure the building construction is being maintained evidenced as follows;
Findings include:
1. At approximately 2:34 PM, it was noted that the FSES had not been updated after the 2007 and 2009 renovations to this facility. This has the potential to affect all staff and residents in all smoke compartments and areas of the Long Term Care wing.
The above was confirmed by the Operations Manager.
2. At approximately 2:25 PM, it was noted that the spray-on fire proofing is missing in three small spots from the structural steel above the Accudose Room ceiling near the Krise 4 Nurses' station on the fourth floor. This area is part of the rated floor/ceiling assembly separating the fifth floor Long-term care area from the rest of the building.
This has the potential to affect all staff and residents in all smoke compartments and areas of the Long Term Care wing.
The above was confirmed by the Operations Manager.
Tag No.: K0034
Based on observations and interviews made on 10/10/12, the facility failed to ensure the building construction is being maintained evidenced as follows;
Findings include:
1. At approximately 2:34 PM, it was noted that the FSES had not been updated after the 2007 and 2009 renovations to this facility. This has the potential to affect all staff and residents in all smoke compartments and areas of the Long Term Care wing.
Tag No.: K0056
Based on observations and interviews made on 10/10/12, the facility failed to ensure the building is fully sprinklered, evidenced as follows;
Findings include:
1. At approximately 1:35 PM, it was noted that the shower room (near door MU-5103) does not have a sprinkler installed. This has the potential to affect all staff and residents in this smoke compartment.
The above was confirmed by the Operations Manager.
Tag No.: K0062
Based on observations and interviews made on 10/10/12, the facility failed to ensure sprinkler system is being maintained, evidenced as follows;
Findings include:
At approximately 1:37 PM, it was noted that the shower room (near door MU-5103) appears to have a painted pendent sprinkler. This has the potential to affect all staff and residents in this smoke compartment.
The above was confirmed by the Operations Manager.