HospitalInspections.org

Based on observation and staff interview it was determined the facility failed to separate hazardous areas from other spaces with smoke resisting partitions. (building is sprinkled) This could place all 47 residents at risk in the event of a fire in the facilit

The findings were:

During a tour of the facility with staff M on 01/24/2017 between 09:30am and 11:45am observation revealed 6 conduit penetrations in the elevator machine room not sealed with an approved fire stop material.

These findings were confirmed by staff M at the time of discovery.

NFPA 101 2012 Ed. Sec. 19.3.2.1.2; Sec. 8.4.4.1, 8.4.4.2

Based on observation and staff interview it was determined the facility failed to provide smoke barriers with at least a 30 minute fire resistance rating and would resist the passage of smoke. This could place all 47 residents at risk in the event of a fire in the facility

During a tour of the facility with staff M on 01/24/2017 between 09:30am and 11:45am observation revealed unsealed penetrations, penetrations sealed with sheet rock mud, and patches improperly constructed above 3 of the 5 fire and smoke barrier doors in unit 2 located on the north end.

These findings confirmed by staff M at the time of discovery.

NFPA 101 2012 Ed. Sec. 19.3.7.3, Sec. 8.5.6.1 thru 8.5.6.6