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Tag No.: K0200
Based on observations during the survey walk of the facility on the afternoon of 02/27/2019, with the Director Of Plant Operations,
Director of Quality & Risk Management and plant engineer, it was noted that recent inspection of doors in the means of egress, rated door assemblies and certain other doors had noted deficiencies.
Tag No.: K0914
Based on observations during the survey walk of the facility on the afternoon of 02/27/2019, with the Director Of Plant Operations,
Director of Quality & Risk Management and plant engineer the facility failed to provide documentation regarding grounding system for inpatient care areas and critical areas are being tested annually. Facility to initiate log and retain these records.