| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 010006 | (X3) Date Survey Completed 04/11/2019 |
| 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) |
| K0343 | Fire Alarm System - Notification CFR(s): NFPA 101 Fire Alarm - Notification 2012 NEW Positive alarm sequence in accordance with 9.6.3.4 are permitted. Occupant notification is provided automatically in accordance with 9.6.3 by audible and visual signals. In critical care areas, visual alarms are sufficient. The fire alarm system transmits the alarm automatically to notify emergency forces in the event of a fire. Annunciation and annunciation zoning for fire alarm and sprinklers shall be provided by audible and visual indicators and zones shall not be larger than 22,500 square feet per zone. 18.3.4.3 through 18.3.4.3.3, 9.6.4 This STANDARD is not met as evidenced by: . Based on observation and interview, the facility failed to ensure the visual function of the notification devices for the fire alarm was per the requirements of: 2012 NFPA 101, 18.3.4.3.1, and 9.6.3.5 2010 NFPA 72, 10.10.2 Findings include: On 04/10/2018, during a tour of the facility from 6:00 pm to 10:00 pm, the surveyor observed fire alarm visual notification devices continued to function after the signal deactivation means was actuated. A member of the maintenance staff was present when this deficiency was identified. . |