| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 530025 | (X3) Date Survey Completed 11/07/2011 |
| Name of Provider or Supplier Ivinson Memorial Hospital | Street Address, City, State 255 N 30th, Laramie, WY | |
| 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) |
| K0020 | LIFE SAFETY CODE STANDARD CFR(s): NFPA 101 Stairways, elevator shafts, light and ventilation shafts, chutes, and other vertical openings between floors are enclosed with construction having a fire resistance rating of at least one hour. An atrium may be used in accordance with 8.2.5.6. 19.3.1.1. This STANDARD is not met as evidenced by: Based on observation and staff interview, the facility failed to ensure the doors in 1 of 2 stairwells were smoke resistant. The findings were: Observation of the south stairwell on 11/7/11 at 12:56 AM showed the second floor double doors did not latch into the door frame because the meeting edges of the doors rubbed against each other. At the time of observation the facility supervisor could not explain why the doors had not been noticed and repaired during the semi-annual inspections. |