| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 01C0001013 | (X3) Date Survey Completed 07/25/2018 |
| Name of Provider or Supplier Op Surg Ctr, Inc And Surgicare Of Huntsville, Inc | Street Address, City, State 721 Madison Street, Huntsville, AL | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| K0344 | Fire Alarm - Control Functions CFR(s): NFPA 101 Fire Alarm - Control Functions The fire alarm automatically activates required control functions and is provided with an alternative power supply in accordance with NFPA 72. 20.3.4.4, 21.3.4.4 This STANDARD is not met as evidenced by: . Based on observation and interview, this building failed to maintain the fire alarm control functions per the requirements of: 2012 NFPA 101, 21.3.4.4, and 9.6.5 2010 NFPA 72, 21.8, and 21.9 This deficiency could affect all occupants. Findings include: On 07/25/2018, during a tour of the facility from 7:00 am to 11:30 am, the surveyor observed the following doors failed to automatically unlock upon loss of primary power to the fire alarm system: 1. The electric locked exterior egress doors located throughout the entire building 2. The magnetic door holders located throughout the entire building A member of the maintenance staff was present when this deficiency was identified. . . Based on observation and interview, this building failed to maintain the fire alarm control functions per the requirements of: 2012 NFPA 101, 21.3.4.4, and 9.6.5 2010 NFPA 72, 21.8, and 21.9 This deficiency could affect all occupants. Findings include: On 07/25/2018, during a tour of the facility from 7:00 am to 11:30 am, the surveyor observed the following doors failed to automatically unlock upon loss of primary power to the fire alarm system: 1. The electric locked exterior egress doors located throughout the entire building 2. The magnetic door holders located throughout the entire building A member of the maintenance staff was present when this deficiency was identified. . . Based on observation and interview, this building failed to maintain the fire alarm control functions per the requirements of: 2012 NFPA 101, 21.3.4.4, and 9.6.5 2010 NFPA 72, 21.8, and 21.9 This deficiency could affect all occupants. Findings include: On 07/25/2018, during a tour of the facility from 7:00 am to 11:30 am, the surveyor observed the following doors failed to automatically unlock upon loss of primary power to the fire alarm system: 1. The electric locked exterior egress doors located throughout the entire building 2. The magnetic door holders located throughout the entire building A member of the maintenance staff was present when this deficiency was identified. . . Based on observation and interview, this building failed to maintain the fire alarm control functions per the requirements of: 2012 NFPA 101, 21.3.4.4, and 9.6.5 2010 NFPA 72, 21.8, and 21.9 This deficiency could affect all occupants. Findings include: On 07/25/2018, during a tour of the facility from 7:00 am to 11:30 am, the surveyor observed the following doors failed to automatically unlock upon loss of primary power to the fire alarm system: 1. The electric locked exterior egress doors located throughout the entire building 2. The magnetic door holders located throughout the entire building A member of the maintenance staff was present when this deficiency was identified. . . Based on observation and interview, this building failed to maintain the fire alarm control functions per the requirements of: 2012 NFPA 101, 21.3.4.4, and 9.6.5 2010 NFPA 72, 21.8, and 21.9 This deficiency could affect all occupants. Findings include: On 07/25/2018, during a tour of the facility from 7:00 am to 11:30 am, the surveyor observed the following doors failed to automatically unlock upon loss of primary power to the fire alarm system: 1. The electric locked exterior egress doors located throughout the entire building 2. The magnetic door holders located throughout the entire building A member of the maintenance staff was present when this deficiency was identified. . . Based on observation and interview, this building failed to maintain the fire alarm control functions per the requirements of: 2012 NFPA 101, 21.3.4.4, and 9.6.5 2010 NFPA 72, 21.8, and 21.9 This deficiency could affect all occupants. Findings include: On 07/25/2018, during a tour of the facility from 7:00 am to 11:30 am, the surveyor observed the following doors failed to automatically unlock upon loss of primary power to the fire alarm system: 1. The electric locked exterior egress doors located throughout the entire building 2. The magnetic door holders located throughout the entire building A member of the maintenance staff was present when this deficiency was identified. . . Based on observation and interview, this building failed to maintain the fire alarm control functions per the requirements of: 2012 NFPA 101, 21.3.4.4, and 9.6.5 2010 NFPA 72, 21.8, and 21.9 This deficiency could affect all occupants. Findings include: On 07/25/2018, during a tour of the facility from 7:00 am to 11:30 am, the surveyor observed the following doors failed to automatically unlock upon loss of primary power to the fire alarm system: 1. The electric locked exterior egress doors located throughout the entire building 2. The magnetic door holders located throughout the entire building A member of the maintenance staff was present when this deficiency was identified. . |