HospitalInspections.org

Based on observation and discussion with the director of maintenance, it was determined that the facility failed to ensure that the doors to certain resident rooms were able to be opened from the inside without a key. The findings include:

On July 19th, 2011, between the hours of 9:00am and 1:00pm the State Fire Marshal observed that the following listed patient rooms had a double keyed deadbolt installed on the doors, which could trap someone in a room accidentally should a door be locked from the hallway side. The rooms included 417 A-B, 418 A-B, 419 A-B, 420 A-B.

These locks must be removed and replaced with a single keyed deadbolt or a lock with a thumb latch as found on most of the other rooms during the survey. These findings were noted and affirmed by the maintenance supervisor during the survey. This could have affected 10 percent of the residents.

Based on observation and discussion with the director of maintenance, it was determined that the facility failed to ensure that the smoke barrier walls throughout the facility were free of penetrations as required. On July 19th, 2011, between the hours of 9:00am and 1:00pm the State Fire Marshal observed that the following listed smoke barrier walls had a penetration that must be sealed:
1. At fifth floor rehab area leading to 5-C nurses station;
2. At room 307-2;
3. At Cardiac vascular lab;
4. At the laboratory exit door;
5. At exit 6 second floor right side;
6. At new section of the emergency room near the break room;
7. At the CT exam room;
8. At radiology and badge reader to ED;
9. At the entrance to the kitchen near the service elevators there is a hole in the block wall; and
10. At the fiber optic room next to the linen room.

These findings were noted and affirmed by the maintenance supervisor during the survey.
This could affect 100 percent of the residents.

Based on observation and discussion with the director of maintenance, it was determined that the facility failed to ensure that the ceiling of the storage room in the lab was free of penetrations as required. The findings include:

On July 19th, 2011, between the hours of 9:00am and 1:00pm the State Fire Marshal observed that there was a gap around the piping and wiring that penetrated the storage room ceiling of the laboratory. These findings were noted and affirmed by the maintenance supervisor during the survey. This could affect 10 percent of the residents.