| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 531311 | (X3) Date Survey Completed 10/05/2016 |
| Name of Provider or Supplier Crook County Hospital | Street Address, City, State 713 Oak Street, Sundance, 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) |
| K0033 | LIFE SAFETY CODE STANDARD CFR(s): NFPA 101 Exit enclosures (such as stairways) are enclosed with construction having a fire resistance rating of at least one hour, are arranged to provide a continuous path of escape, and provide protection against fire or smoke from other parts of the building. 7.1.3.2, 8.2.5.2, 8.2.5.4, 19.3.1.1 This STANDARD is not met as evidenced by: . Based on observation and staff interview the facility failed to provide rated construction for an exit stairwell in accordance with NFPA 101. The findings were: 1. Observation on 10/05/2016 at 8:46 AM located at the exit stairwell adjacent to the Back 40 storage revealed that the stair well was open to the lower medical clinic. Further observation revealed a childs play room in the exit stairwell that was not separated from the stairwell by a fire rating of at least 1 hour. Interview with the Facility Maintenance Manager at time of observation acknowledged the childs play room was open to the exit stairwell. 2. Observation on 10/05/2016 at 8:45 AM located at the exit stairwell adjacent to the Back 40 storage revealed a non continuous path of egress. Further observation revealed obstruction such as combustible storage goods in the exit stairwell obstructing egress. Interview with the Facility Maintenance Manager at the time of observation acknowledged that there were storage items within the means of egress. Ref: 2000 NFPA 101, Sections 19.3.1.1 and 8.2.5.2 |