HospitalInspections.org

Based on an observation made of the facility made on 08/18/2021 the facility to maintain the existing ceiling as there are holes in it.




Based on an observation of the facility made on 08/18/2021, the facility failed to maintain the walls in room 607, as there are holes in the wall in room 607.




Based on an observation made of the facility on 08/18/2021, the facility failed to remove the nurse call and Oxygen o2 ports in several rooms that are now being used as storage.




Based on an observation made of the facility on 08/18/2021 the facility failed to maintain the ceiling in the medication room because as of its current status the ceiling is falling apart in the medication room.




Based on an observation made of the facility on 08/18/2021 the facility failed to provide to remove the nurse call devices and the o2 ports from the former patient's room that is now being used as the CEO's office.




Based on an observation made of the facility on 08/18/2021, the facility failed to maintain the required spacing in the patient corridors as stretchers are being stored in the hallways and not in storage room, limiting the required space in the corridor.




Based on an observation made of the facility on 08/18/2021 the facility failed to maintain a clean and sanitized facility as it appears to be mold on the HVAC device in the staff breakroom. Based on an interview with the CEO, she will have the device tested to confirm or deny the presence of mold.


Based on an observation made of the facility on 08/18/2021 the facility failed to install a storage room sign outside of the storage room on the 5th floor patient area.


Based on an observation made of the facility on 08/18/2021 the facility failed to remove the nurse call system from the former patient room that is now being used as the pharmacy.



Based on an observation made of the facility on 08/18/2021 the facility failed to provide a public telephone in the patient waiting area.

Based on an observation made of the facility's paperwork on 08/18/2021, the facility failed to install a fire alarm annunciator panel on any of the floors of the hospital that it resides on.

Based on an observation made of the facility on 08/18/2021, the facility failed to maintain the proper and required documentation on site as the 3rd and 4th quarter of 2020 the fire alarm and fire sprinkler inspections reports were not in the required documentation. Based on an interview with the staff it was stated that the inspections were inadvertently missed.



Based on an observation made of the facility on 08/18/2021 the facility failed to install any audible / visual fire alarm notification devices on either floor of the facility.

Based on an observation made of the facility on 08/18/2021 the facility failed to provide the negative pressure devices in the patient's restroom. As observed on the 6th floor the negative pressure was not working in either the men's or women's restroom.

Based on an observation made on 8/18/2021 of the facility, the facility failed to provide documentation of the testing of grounding system at inpatient care areas. 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.
Receptacle testing in patient care areas shall be tested as follows:
Physical integrity of each receptacle. (Visual)
Continuity of the grounding of each receptacle. (Test)
Correct polarity of hot and neutral connections in each receptacle. (Test)
The retention force of the grounding blade shall be not less than 4 oz. (test)
NFPA 99: 6.3.4