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CARRUS SPECIALTY HOSPITAL
No Description Available
Tag No.: K0018
Based on observation the facility failed to protect corridor openings by impeding the closing of the doors.
Observation between 1:00 pm and 3:30 pm revealed chocks holding open doors, including but not limited to the Respiratory storage room.
No Description Available
Tag No.: K0021
Based on observation the facility failed to protect the hazardous area enclosure by means of an unapproved hold open device.
Between 1:00 pm and 3:30 pm, accompanied by the Director of Facilities a concrete masonry block was observed holding open the door between the emergency and normal power rooms.
No Description Available
Tag No.: K0025
Observation revealed the facility failed to provide a properly constructed smoke barrier.
Between the hours of 1:00 pm and 3:30 pm, while accompanied by the Director of Facilities, it was observed that penetrations were not sealed in the smoke barrier wall.
No Description Available
Tag No.: K0029
Based on observation, the facility failed to provide an adequately constructed one-hour separation wall to a hazardous space.
Between the hours of 1:00 pm and 3:30 pm, while accompanied by the Director of Facilities, an unfinished are of the building was netered. The inspector observed the corridor side of the wall was finsihed with gypsum board to deck, but the opposite side of the wall did not have any gypsum board. Unfinished areas are considered storage rooms and must therefore be rated.
No Description Available
Tag No.: K0051
Based on observation the facility failed to provide an acceptable cross referencing of the fire alarm control panel and the panel and breaker supplying power.
The inspector observed, while accompanied by the Director of Facilites, during the hours of the inspection from 1:00 pm to 3:30 pm that there was not cross referencing of the fire alarm control panel and the panel and breaker supplying power. The fire alarm control panel must have a label indicating the panel and breaker supplying power and the breaker in the electrical panel must have a label adjacent to the breaker indicating " FIRE ALARM CIRCUIT CONTROL " and the breaker shall be colored red.
No Description Available
Tag No.: K0052
Based ion observation the facility failied to provide adequate fire alarm system inspection documentation.
The inspector observed between 1:00 pm to 3:30 pm that there were no records of the waterflow devices and tamper switches being inspected during the annual inspection.
No Description Available
Tag No.: K0130
A. Review of records revealed the Hospital Licensing Standard 133.162 (d)(3)(D)(ii) is not met.
The Standard: Record log indicating filter changes for Air Handling Units must be kept.
Findings: The inspector observed between 1:00 pm to 3:30 pm that there were no records of the filter changes for the Air Handling Units.
B. Review of records revealed NFPA 99, 11-5.3.2 is not met.
The Standard: A letter form indicating preferred customer status must be provided for emergency water and fule.
Findings: Interview with the Director of Facilites, between the hours of 1:00 pm and 3:30 pm revealed a letter of preferred cusomer status has not been obtained for the emergency fuel source.
No Description Available
Tag No.: K0144
Review of records indicated the facility is not maintaining proper geenrator inspection records.
The inspector observed between 1:00 pm to 3:30 pm that there were no records of the generator being tested on a weekly basis.
No Description Available
Tag No.: K0145
Observation revealed the facility failed to provide a properly constructed Emergency Electrical System.
Between the hours of 1:00 pm and 3:30 pm, the inspector observed that items required to be on the Life Safety Panel were located on it. Items not indicated on the Life Safety Panel are the medical gas alarm, the generator alarm and the generator battery charger. Location of the Generator battery charger was indicated to be on the Critical Panel.