Life Care Center of Paradise Valley

Based on observation, the facility failed to maintain a special locking exit door located on the 2nd floor of the facility. Failing to provide manual release of the exit doors could cause harm to patients and/or staff in an emergency

Based on observation and staff interviews, the facility failed to ensure that the electrical breaker for the fire alarm system has visual markings to distinguish it from other breakers. Failure to properly identify/mark the fire alarm system could lead to harm of residents and staff in an emergency.

Based on observation, it was determined that the facility failed to maintain the sprinkler heads and ensure that all parts of the sprinkler system were in accordance with the UL Listing. Failing to maintain sprinkler heads and damaged/missing escutcheon plates, which are part of the U.L. Listing of the sprinkler assembly, could allow heat and smoke to affect other areas of the building. This could cause harm to the patients.

Based on observation and interview, the facility failed to provide corridor doors in accordance with the requirements of NFPA 101 - 2012 edition, Sections 19.3.6, 19.3.6.3, and 19.3.6.3.10. This deficient practice could affect approximately 14 of the 110 residents.Â

Based on observation, it was determined that the facility failed to fill penetrations in multiple smoke barriers in the facility. Failing to seal the penetrations, holes, and openings in the smoke barriers will allow smoke and heat to penetrate other wings or possibly the whole facility, which could cause harm to all residents and staff in the event of a fire.Â

Based on a review of the facility's Emergency Preparedness Plan, record review, and staff interviews, it was determined that the facility failed to participate in required emergency drills. Failure to participate in drills may lead to untrained staff in an emergency situation and may result in harm to the residents during an emergency.Â

Based on record review and staff interview, it was determined that the facility failed to ensure that their Emergency Preparedness plan incorporated documentation to include the emergency and standby power systems. Failure to implement the emergency and standby power systems plan during an emergency could lead to harm.