MOUNTAIN VIEW CARE CENTER

Doors with Self-Closing Devices Doors in an exit passageway, stairway enclosure, or horizontal exit, smoke barrier, or hazardous area enclosure are self-closing and kept in the closed position, unless held open by a release device complying with 7.2.1.8.2 that automatically closes all such doors throughout the smoke compartment or entire facility upon activation of: * Required manual fire alarm system; and * Local smoke detectors designed to detect smoke passing through the opening or a required smoke detection system; and * Automatic sprinkler system, if installed; and * Loss of power. 18.2.2.2.7, 18.2.2.2.8, 19.2.2.2.7, 19.2.2.2.8

Based on observation while on tour the facility failed allowed a rated door to the kitchen to be held open. Failing to keep self-closing or automatic closing doors closed will allow smoke and heat, during a fire, to spread throughout the facility, which could cause harm to the patients. NFPA 101 Life Safety Code, 2012, Chapter 19 Existing, Section 19.3.6.3.10 Doors shall not be held open by devices other than those that release when the door is pushed or pulled. Findings include: Observations made while on tour on June 13, 2023, revealed the rated door between the kitchen and a corridor was being held open with a clean plate rack. During the exit conference on June 13, 2023, the above findings were again acknowledged by the management team.

Electrical Equipment - Power Cords and Extension Cords Power strips in a patient care vicinity are only used for components of movable patient-care-related electrical equipment (PCREE) assembles that have been assembled by qualified personnel and meet the conditions of 10.2.3.6. Power strips in the patient care vicinity may not be used for non-PCREE (e.g., personal electronics), except in long-term care resident rooms that do not use PCREE. Power strips for PCREE meet UL 1363A or UL 60601-1. Power strips for non-PCREE in the patient care rooms (outside of vicinity) meet UL 1363. In non-patient care rooms, power strips meet other UL standards. All power strips are used with general precautions. Extension cords are not used as a substitute for fixed wiring of a structure. Extension cords used temporarily are removed immediately upon completion of the purpose for which it was installed and meets the conditions of 10.2.4. 10.2.3.6 (NFPA 99), 10.2.4 (NFPA 99), 400-8 (NFPA 70), 590.3(D) (NFPA 70), TIA 12-5

Based on observation, the facility failed to ensure the use of extension cords in resident rooms and appliances being plugged into a power strip. A power strip plugged into a power strip could create an overload of the electrical system and could cause a fire or an electrical hazard. A fire could cause harm to the patients. NFPA 101, Life Safety Code, 2012. Chapter 2, Section 2.1 The following documents or portions thereof are referenced within this Code as mandatory requirements and shall be considered part of the requirements of this Code. Chapter 2 "Mandatory References" NFPA 99 "Standard for Health Care Facilities, " 2012 Edition. NFPA 99, Chapter 6, Section 6.3.2.2.6.2 , "All Patient Care Areas," Sections 6.3.2.2..6.2 (A) through 6.3.2.2.6.2 (E) Receptacles (2)" Minimum Number of Receptacles." "The number of receptacles shall be determined by the intended use of the patient care area. Findings include: Observations made while on tour on June 13, 2023, revealed the following; 1) a refrigerator was seen plugged into a power strip in the Director of Nursing Office 2) an extension cord was observed in resident room 302, which had a cellular telephone charger plugged into it During the exit conference conducted on June 13, 2023 the above findings were again acknowledged by the management team.