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GREEN CLINIC SURGICAL HOSPITAL
No Description Available
Tag No.: K0050
Based on visual observation and record review the facility failed to maintain documentation for fire drills conducted during each quarter on each shift. Fire drills provide training in procedures in cases of emergency. The deficient practice had the potential to affect 9 of 9 residents.
4 of 4 quarters in 2012-2013 were deficient.
Findings:
During the record review, between the hours of 10:00am and 11:00am, the facility could produce only 1 fire drill prior to October 2013. September 2013 was the only drill documented for the year.
Interview with the facility Adminstrator revealed the facility was aware fire drills were not being held for (shift) due to the fact a new Compliance Officer is in charge of making sure the drills are conducted.