| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 010006 | (X3) Date Survey Completed 07/15/2010 |
| Name of Provider or Supplier North Alabama Medical Center | Street Address, City, State 1701 Veterans Drive, Florence, 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) |
| K0067 | LIFE SAFETY CODE STANDARD CFR(s): NFPA 101 Heating, ventilating, and air conditioning comply with the provisions of section 9.2 and are installed in accordance with the manufacturer's specifications. 19.5.2.1, 9.2, NFPA 90A, 19.5.2.2 This STANDARD is not met as evidenced by: The facility failed to maintain the smoke dampers per code. Findings include: During the survey, the following was observed: 1. Fifth Floor - the smoke damper at the smoke doors in front of the Nurses' Station did not close when the fire alarm was tested. 2. Fourth Floor - the smoke damper for the fire/smoke barrier at the fire doors (4-F-S-70) at room 460 did not close when the fire alarm was tested. 3. Third Floor - the fire/smoke barrier at the Pharmacy/the entrance to C.C.U. (A-3-18) access panel could not be found. 4. Second Floor - the fire/smoke barrier at the fire doors (2-F-31) had a fire damper, but no smoke damper. 1999 NFPA 90A, 3-3.5.1 Smoke dampers shall be installed at or adjacent to the point where air ducts pass through required smoke barriers, but in no case shall a smoke damper be installed more than 2 ft (0.6 m) from the barrier or after the first air duct inlet or outlet, whichever is closer to the smoke barrier. 1999 NFPA 90A, 2-3.4.1 A service opening shall be provided in air ducts adjacent to each fire damper, smoke damper, and smoke detector. The opening shall be large enough to permit maintenance and resetting of the device. |