Building Construction Deficiency in Facility
Penalty
Summary
The facility failed to maintain building construction requirements as observed during a survey conducted on April 22, 2025. The building was identified as a two-story, Type III (200), unprotected ordinary structure, which is not permitted for health care facilities. This type of construction exceeds the maximum allowable story height for such a structure. The deficiency was confirmed during an exit interview with the Chief Executive Officer and Director of Campus Services on April 23, 2025.
Plan Of Correction
The facility submits this Plan of Correction based on the Department of Health's identification of areas that are determined to represent deficient practice. Facility submits this Plan of Correction for the identified tag. The facility will request Division of Safety to conduct an FSES survey.