|Building Construction Type and Height|
Building construction type and stories meets Table 220.127.116.11, unless otherwise permitted by 18.104.22.168 through 22.214.171.124
1 I (442), I (332), II (222) Any number of stories
non-sprinklered and sprinklered
2 II (111) One story non-sprinklered
Maximum 3 stories sprinklered
3 II (000) Not allowed non-sprinklered
4 III (211) Maximum 2 stories sprinklered
5 IV (2HH)
6 V (111)
7 III (200) Not allowed non-sprinklered
8 V (000) Maximum 1 story sprinklered
Sprinklered stories must be sprinklered throughout by an approved, supervised automatic system in accordance with section 9.7. (See 19.3.5)
Give a brief description, in REMARKS, of the construction, the number of stories, including basements, floors on which patients are located, location of smoke or fire barriers and dates of approval. Complete sketch or attach small floor plan of the building as appropriate.
Name: MAIN - Component: 01 - Tag: 0161
Based on observation and interview, it was determined the facility failed to maintain building construction requirements in multiple locations, affecting six of six smoke compartments.
1. Observation on February 27, 2019, between 9:00 a.m. and 12:15 p.m., revealed the facility exceeded the maximum allowable story height for the type of construction.
Exit interview with facility representative #1 on February 27, 2019, between 12:10 p.m. and 12:15 p.m., confirmed the building exceeded the maximum allowable story height.
| ||Plan of Correction - To be completed: 05/01/2019|
The facility submitted an FSES in accordance with the 2012 Life Safety Code to PA DOH on May 31, 2017. Approval was received on the FSES from the Center for Medicare and Medicaid Services (CMS) on August 4, 2017 to ensure ongoing compliance with deficiency K 0161.
Facility requests an update to the current FSES.