Mercy House

2025 · 13 cited

1. The facility failed to ensure the sensitivity of smoke detectors was checked according to NFPA 72.

   Life Safety CodeCited Jun 2, 2025Corrected —

2. The facility failed to inspect, test, and maintain fire sprinkler system components.

   Life Safety CodeCited Jun 2, 2025Corrected —

3. The failed to provide safe waste containers in smoking areas.

   Life Safety CodeCited Jun 2, 2025Corrected —

4. The facility failed to ensure flammable and combustible liquids were not stored in buildings used by residents.

   Life Safety CodeCited Jun 2, 2025Corrected —

5. The facility failed to ensure portable fire extinguishers were mounted on hangers or brackets supplied with the fire extinguisher or mounted in a fire extinguisher cabinet, were protected from impact or dislodgement, and were mounted at the appropriate height based on the weight of the extinguisher.

   Life Safety CodeCited Jun 2, 2025Corrected —

6. The facility failed to ensure means of escape met the referenced codes and standards.

   Life Safety CodeCited Jun 2, 2025Corrected —

7. The facility failed to provide the minimum levels of illumination required in the facility.

   Life Safety CodeCited Jun 2, 2025Corrected —

8. The facility failed to maintain a current printed copy of the plan in a location accessible to all staff, residents, and residents legally authorized representatives

   Life Safety CodeCited Jun 2, 2025Corrected —

9. The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.

   Life Safety CodeCited Jun 2, 2025Corrected —

10. The facility failed to include a section addressing direction and control in the emergency preparedness and response plan.

    Life Safety CodeCited Jun 2, 2025Corrected —

11. The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.

    Life Safety CodeCited Jun 2, 2025Corrected —

12. The facility failed to include a section addressing transportation in the emergency preparedness and response plan.

    Life Safety CodeCited Jun 2, 2025Corrected —

13. The facility failed to provide the required emergency preparedness and response plan training and conduct drills.

    Life Safety CodeCited Jun 2, 2025Corrected —