| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 010001 | (X3) Date Survey Completed 10/05/2017 |
| Name of Provider or Supplier Southeast Health Medical Center | Street Address, City, State 1108 Ross Clark Circle, Dothan, 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) |
| K0355 | Portable Fire Extinguishers CFR(s): NFPA 101 Portable Fire Extinguishers Portable fire extinguishers are selected, installed, inspected, and maintained in accordance with NFPA 10, Standard for Portable Fire Extinguishers. 18.3.5.12, 19.3.5.12, NFPA 10 This STANDARD is not met as evidenced by: . Based on observation and interview, the building failed to maintain the fire extinguishers per the requirements of: 2012 NFPA 101, 19.3.5.12 2012 NFPA 101, 9.7.4.1 2010 NFPA 10, 6.1.3.8.1 2010 NFPA 10, 6.1.3.8.3 2010 NFPA 10, 7.2.2 2010 NFPA 10, 5.5.5.3 Findings include: 1. On 10/03/2017, during a tour of the building from 8:00 am to 4:15 pm, the following was observed on the First Floor: a. In the Mechanical Room for Case Management a fire extinguisher was observed on the floor and it had just been inspected the day before. b. In the Insurance Suite by the water fountain a fire extinguisher was observed mounted over 5'-0" above finished floor and it had just been inspected the day before. DEVIN c. A portable fire extinguisher in the Special Procedure's Speech Therapy Office was observed obstructed by three large filing cabinets. 36148 2. On 10/04/2017, during a tour of the building from 8:00 am to 5:00 pm, the K fire extinguisher at the Service Line Grill area was observed without a placard placed near the extinguisher. A member of the maintenance staff was present when this deficiency was identified. . |