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42 CFR 482.41(a)

Based on observations, on May 12, 2015 at approximately 10.00 AM onward, the following deficiencies were noted:
1) Resident room 211 is utilized as a teleconference room and has sound proofing material on the walls and exceeds 10 percent of the aggregate wall area. The facility at the time of the survey could not provide information on the flame spread rating for the material.
NFPA 101: 10.2.5
This deficiency affected one of two smoke compartments.
Failure to comply with minimum standards as referenced increases the risk of death or injury due to fire and/or smoke.

42 CFR 482.41(a)

Based on observations, on May 12, 2015 at approximately 10.00 AM onward, the following deficiencies were noted:
1) The corridor door to the x-ray room did not close, latch and seal when checked
NFPA101: 19.3.6.3
This deficiency affected one of two smoke compartments.
Failure to comply with minimum standards as referenced increases the risk of death or injury due to fire and/or smoke.

42 CFR 482.41(a)

Based on observations, on May 12, 2015 at approximately 10.00 AM onward, the following deficiencies were noted:
1) Resident room 202 was used for storage and was not equipped with a self closing device.
2) The vent for the film developer that penetrates the ceiling was not equipped with a fire damper.
NFPA 101:19.3.2.1
This deficiency affected one of two smoke compartments.
Failure to comply with minimum standards as referenced increases the risk of death or injury due to fire and/or smoke.

42 CFR 482.41(a)

Based on observations, on May 12, 2015 at approximately 10.00 AM onward, the following deficiencies were noted:
1) The tamper alarm on the sprinkler backflow preventor, (the one located on the incoming side of the device) in the sprinkler pit did not provide a visual and/or audible alarm at the fire alarm panel.
NFPA 101, 4.6.12.1.
This deficiency affected the entire facility.
Failure to comply with minimum standards as referenced increases the risk of death or injury due to fire and/or smoke.

42 CFR 482.41(a)

Based on observations, on May 12, 2015 at approximately 10.00 AM onward, the following deficiencies were noted:
1) The oxygen storage was non-compliant, specific findings include the outside main oxygen storage was not covered to protect against inclement weather. Ref: 2000 NFPA 99, 4-3.5.2.2 Cylinders stored in the open shall be protected against extremes of weather and from the ground beneath to prevent rusting. During winter, cylinders stored in the open shall be protected against accumulations of ice or snow. In summer, cylinders stored in the open shall be screened against continuous exposure to direct rays of the sun in those localities where extreme temperatures prevail.
2) The type E oxygen cylinders stored at the oxygen storage area were gang chained together and not individual supported. [NFPA 99 4-3.5.2.1b(27)]

This deficiency affected the outside oxygen storage area,
Failure to comply with minimum standards as referenced increases the risk of death or injury due to fire and/or smoke.

42 CFR 482.41(a)

Based on observations, on May 12, 2015 at approximately 10.00 AM onward, the following deficiencies were noted:
1) The generator annunciator panel located at the nurse station did not show generator running when power was transferred from normal to emergency connected load.
2) The indicator lights on both the critical and life safety transfer switch were not operational.
NFPA 99. 3-4.1.1.15

This deficiency affected the entire facility.
Failure to comply with minimum standards as referenced increases the risk of death or injury due to fire and/or smoke.

42 CFR 482.41(a)

Based on observations, on May 12, 2015 at approximately 10.00 AM onward, the following deficiencies were noted:
1) The Life Safety transfer switch and life safety panel were not connected to the main electrical system. The Life Safety transfer switch and life safety panel were found to be wired in as sub panel through Electrical Panel P-1.
2) On the corridor wall outside the staff breakroom there is one recepticale that is cracked at the ground plug area and one recepticale on the same wall that is scorched at the blade plug in location.
3) The wall light switch located in the kitchen next to the soiled drainboard is broken and not maintained in good condition.
NFPA 70
This deficiency affected the entire facility.
Failure to comply with minimum standards as referenced increases the risk of death or injury due to fire and/or smoke.