| Inspection Results |
|---|
| - (11-DEC-08) |
|---|
| Facility failed to meet the following Requirement(s): | Date Corrected | | |
| Building construction type and height meets one of the following. 19.1.6.2, 19.1.6.3, 19.1.6.4, 19.3.5.1
| 20-JAN-09 | No actual Harm with potential for More than minimal harm that is not immediate jeopardy | Few |
| Fire drills are held at unexpected times under varying conditions, at least quarterly on each shift. The staff is familiar with procedures and is aware that drills are part of established routine. Responsibility for planning and conducting drills is assigned only to competent persons who are qualified to exercise leadership. Where drills are conducted between 9 PM and 6 AM a coded announcement may be used instead of audible alarms. 19.7.1.2
| 20-JAN-09 | No actual Harm with potential for More than minimal harm that is not immediate jeopardy | Some |
| Electrical wiring and equipment is in accordance with NFPA 70, National Electrical Code. 9.1.2
| 20-JAN-09 | No actual Harm with potential for More than minimal harm that is not immediate jeopardy | Few |
| Fire drills shall be conducted at least every three (3) months on each shift with a minimum of twelve (12) drills annually. Staff shall be trained how to proceed in the event of a fire, that is, who to call, how to evacuate injured residents, which residents will need special assistance in evacuation and how to operate fire alarm and extinguishing equipment. II/III
| 20-JAN-09 | | |
| The building shall be substantially constructed and shall be maintained in good repair. New facilities shall comply with the requirements in accordance with the provisions found in 13 CSR 15-14.012. When a new facility or an addition to an existing facility is licensed, no different construction requirements shall be imposed on the operator, provided the facility is being maintained in good repair as originally approved for licensure, providing the health, safety and welfare of the residents is not in jeopardy. Existing licensed facilities shall meet and maintain the facility's physical plant in accordance with the construction standards in effect at the time of initial licensing, unless there is a specific rule governing the subject cited in this section or in 13 CSR 15-14.022, except that those facilities licensed between 1957 and 1965 shall not increase the capacity of any room or the total capacity of the facility without meeting new construction requirements. Existing licensed facilities with plans approved after April 8, 1972, and prior to January 1, 1999, shall comply as existing facilities with the 1985 Life Safety Code (National Fire Protection Association NFPA 101), which is incorpo- rated by reference in this rule, except that no provision of the 1985 code will be enforced that is more restrictive than the code of original plan approval. New facilities whose physical plant requirement plans are approved on or after January 1, 1999, shall comply with the provisions of the 1997 Life Safety Code, incorporated by reference in this rule. II/III
| 20-JAN-09 | | |
