HospitalInspections.org

Based on observations during the tour of the facility on the afternoon of 12/16/2015, with Director of Plant Operations, the facility (North) failed to provide a rated door on the 1 hr rated corridor . Provide rated door.

Based on observations during the tour of the facility on the afternoon of 12/16/2015, with Director of Plant Operations (North bldg), the facility failed to maintain clear access to an exit way. Move sign in front of exit sign that leads to front lobby.
Provide additional exit sign on inside wall of cafeteria.

Based on observations during the tour of the facility on the afternoon of 12/16/2015, with Director of Plant Operations, the facility failed to provide acceptable documentations with regards to the hvac units filters merv rating for both North and South Building.

Based on observations during the tour of the facility on the afternoon of 12/16/2015, with Director of Plant Operations, the facility failed to provide acceptable documentations with regards to the grounding system for both North and South Building.
The electrical grounding of duplex outlets in general patient care areas shall be tested annually and critical care areas tested semi-annually. The facility must initiate a file on site to retain these records.