2014-12-18
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Inspection Results
Recertification/State Licensure/Life Safety Code - (25-AUG-11)
Facility failed to meet the following Requirement(s):Date CorrectedLevel of HarmResidents Affected
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 07-OCT-11No actual Harm with potential for More than minimal harm that is not immediate jeopardyMany
Cooking facilities are protected in accordance with 9.2.3. 19.3.2.6, NFPA 96 07-OCT-11No actual Harm with potential for More than minimal harm that is not immediate jeopardyMany
Draperies, curtains, including cubicle curtains, and other loosely hanging fabrics and films serving as furnishings or decorations in health care occupancies are in accordance with provisions of 10.3.1 and NFPA 13, Standards for the Installation of Sprinkler Systems. Shower curtains are in accordance with NFPA 701. Newly introduced upholstered furniture within health care occupancies meets the criteria specified when tested in accordance with the methods cited in 10.3.2 (2) and 10.3.3. 19.7.5.1, NFPA 13 Newly introduced mattresses meet the criteria specified when tested in accordance with the method cited in 10.3.2 (3) , 10.3.4. 19.7.5.3 07-OCT-11No actual Harm with potential for More than minimal harm that is not immediate jeopardyMany
(9) Facilities shall provide every cooking range with a range hood and approved range hood extinguishing system installed, tested, and maintained in accordance with NFPA 96, 1998 edition. The range hood and its extinguishing system shall be certified at least twice annually in accordance with NFPA 96, 1998 edition. II/III 07-OCT-11Refer to definitions of Class I, I/II, II, II/III, III deficiencies
(38) All curtains in resident-use areas shall be rendered and maintained flame-resistant in accordance with NFPA 701, 1999 edition. II/III 07-OCT-11Refer to definitions of Class I, I/II, II, II/III, III deficiencies
(2) 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 19 CSR 30-85.012. 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 19 CSR 30-85.022, 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 Health Care Occupancies with NFPA 101, 2000 edition. Facilities whose physical plant requirement plans are approved on or after January 1, 1999, shall comply as New Health Care Occupancies with NFPA 101, 2000 edition. II/III 07-OCT-11Refer to definitions of Class I, I/II, II, II/III, III deficiencies