Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391
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)
K0147 LIFE SAFETY CODE STANDARD
CFR(s): NFPA 101

Electrical wiring and equipment is in accordance with NFPA 70, National Electrical Code. 9.1.2


This STANDARD is not met as evidenced by:
A) During the survey, two junctions boxes were observed to be missing the covers, in the Housekeeping Storage Room. 1999 NFPA 70, 370-25 and 410-12. Each box in completed installations to have a cover, face plate, or fixture canopy. 27382 B) The facility failed to maintain the electrical system per code. Findings include: During the survey, the following was observed: 1. Fourth Floor the fire/smoke barrier at Labor and Delivery had two junction boxes without cover plates. 2. Fourth Floor - Manager's Office had a refrigerator plugged into a surge protector. 3. Fourth Floor - Call Room 1 in O.B. - had a homemade extension cord with an an electrical four gang outlet on one end with an extension cord and a surge protector were plugged into it. 4. Second Floor - O.R. Scheduling had an extension cord plugged into a surge protector. 5. Second Floor - O.R. Breakroom had a homemade extension cord with an an electrical outlet on one end; a microwave was plugged into it and it was laying on the microwave. 6. Second Floor - Medical Records had several surge protectors plugged into other surge protectors. 7. Seventh Floor - Radio Room had a microwave plugged into a surge protector, that surge protector was plugged into another surge protector, that also had a refrigerator plugged into it. 8. Sixth Floor - Case Management Office had a refrigerator plugged into one surge protector and a microwave plugged into another surge protector. 9. Third Floor - Maintenance Break Room had a homemade extension cord with an an electrical outlet on one end; a refrigerator was plugged into it. 10. Third Floor - Respiratory Therapy Break Room had a microwave plugged into a surge protector. 11. Third Floor - Utilization Review - had a microwave and a refrigerator plugged into a surge protector. 1999 NFPA 70, 370-28 Boxes and conduit bodies used as pull or junction boxes shall comply with (a) through (d). (c) Covers. All pull boxes, junction boxes, and conduit bodies shall be provided with covers compatible with the box or conduit body construction and suitable for the conditions of use. Where metal covers are used, they shall comply with the grounding requirements of Section 250-110. An extension from the cover of an exposed box shall comply with Section 370-22, Exception. 1999 NFPA 70, 400-7 and 400-8, and HCFA Transmittal Notice 22-99 Appliances, such as air conditioners and refrigerators, shall plug directly into a receptacle. 1999 NFPA 70, 400-7 Uses Permitted (a) Uses. Flexible cords and cables shall be used only for the following: 1. Pendants 2. Wiring of fixtures 3. Connection of portable lamps, portable and mobile signs, or appliances 4. Elevator cables 5. Wiring of cranes and hoists 6. Connection of stationary equipment to facilitate their frequent interchange 7.Prevention of the transmission of noise or vibration 8. Appliances where the fastening means and mechanical connections are specifically designed to permit ready removal for maintenance and repair, and the appliance is intended or identified for flexible cord connection 9. Data processing cables as permitted by Section 645-5 10. Connection of moving parts 11. Temporary wiring as permitted in Sections 305-4(b) and 305-4(c) (b) Attachment Plugs. Where used as permitted in subsections (a)(3), (a)(6), and (a)(8), each flexible cord shall be equipped with an attachment plug and shall be energized from a receptacle outlet. 2000 NFPA 101, 9.1.2 Electrical wiring and equipment shall be in accordance with NFPA 70, National Electrical Code, unless existing installations, which shall be permitted to be continued in service, subject to approval by the authority having jurisdiction.