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PINNACLE SPECIALTY HOSPITAL
No Description Available
Tag No.: K0077
Based on observation and record review it was determined the facility failed to ensure their medical gas systems were inspected annually as required. Findings:
On 06/01/2016 at 11:04 a.m., one detailed inspection report from Airgas, LLC dated 05/21/2016 was reviewed and no issues were identified with the facility medical gas systems. A cover letter dated 05/26/2016 from Airgas USA was reviewed and in part stated there were no problems or issues with the facility medical gas systems. The installation report of the facility medical gas systems dated June 1, 2009 identified the facility medical gas system as a Level 2 system.
On 06/1/2016 at 11:07 a.m., an interview was conducted with the administrator of the facility. The administrator was asked why the facility only had one medical gas inspection reports for the facility. The administrator advised she did not know. She said that Airgas performed an inspection of their medical gas systems on 5/21/2016 and they received the final report on 5/26/2016 which did not identify any problems.
Reference:
NFPA 99, 1999 Edition, Chapter 4
4-4.4 Performance Criteria and Testing.
4-4.4.1 Piped Gas Systems-Level 2.
The performance and testing criteria for Level 2 piped gas systems shall conform to the requirements for Level 1 piped gas systems.
4-4.4.2 Piped Vacuum Systems-Level 2.
The performance and testing criteria for Level 2 piped vacuum systems shall conform to the requirements for Level 1 piped vacuum systems.
4-4.4.3 Piped WAGD Systems-Level 2.
The performance and testing criteria for Level 2 piped WAGD systems shall conform to the requirements for Level 1 piped WAGD systems.
4-4.5 Administration-Level 2.
4-4.5.1 Responsibility of Governing Body.
(Reserved)
4-4.5.2 Piped Gas Systems Policies-Level 2.
The policies for Level 2 piped gas systems shall conform to the requirements for Level 1 piped gas systems.
4-4.5.3 Piped Vacuum Systems-Level 2.
The policies for Level 2 piped vacuum systems shall conform to the requirements for Level 1 piped vacuum systems.
4-4.5.4 Piped WAGD Systems-Level 2.
The policies for Level 2 piped WAGD systems shall conform to the requirements for Level 1 piped WAGD systems.
NFPA 99, 1999 Edition, Chapter 4.3:
4-3 Level 1 Piped Systems