Inspection Report Summary
The most recent inspection on May 13, 2022, identified deficiencies related to emergency generator documentation, oxygen storage, and fire drill procedures. Earlier inspections were not provided for comparison, so broader patterns cannot be determined from the available information. The main issues involved life safety compliance, specifically documentation of equipment testing, proper storage of oxygen, and execution of fire drills. There were no complaint investigations or enforcement actions listed in the available reports. Without additional data, it is unclear whether these findings represent an ongoing trend or isolated concerns.
Deficiencies (last 1 years)
Deficiencies (over 1 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
62% better than Idaho average
Idaho average: 7.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Life Safety
Deficiencies: 3
Date: May 13, 2022
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with relevant safety codes and regulations.
Findings
The facility was found to have deficiencies including lack of documentation for emergency generator inspections and testing, improper storage of medical oxygen in a non-ventilated area with combustible materials, and fire drills that did not demonstrate evacuation to the designated assembly point as required.
Deficiencies (3)
No documentation for inspections and testing of the emergency generator system including weekly inspections, monthly load testing, load bank tests, and annual fuel test.
Oxygen storage of 312 cubic feet in a linen/storage closet without ventilation and housing combustible materials.
Fire drills did not demonstrate evacuation to the designated point of assembly outlined in the emergency action plan.
Report Facts
Oxygen storage volume: 312
Generator capacity: 250
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