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Provider Name: NICKLAUS CHILDREN'S HOSPITAL
Provider Type: Hospital
Inspection Data from January 1, 2008 to present
Export Results


Survey DateInspection TypeTrack IDDeficiencyRequirement DescriptionCorrection Date
12/19/2018 XB4TNoneNoneNoneNone
07/25/2018Fire/Life/Safety0WWNK0111BUILDING REHABILITATIONBuilding Rehabilitation Repair, Renovation, Modification, or Reconstruction Any building undergoing repair, renovation, modification, or reconstruction complies with both of the following: * Requirements of Chapter 18 and 19 * Requirements of the applicable Sections 43.3, 43.4, 43.5, and 43.6 18.1.1.4.3, 19.1.1.4.3, 43.1.2.1 Change of Use or Change of Occupancy Any building undergoing change of use or change of occupancy classification complies with the requirements of Section 43.7, unless permitted by 18.1.1.4.2 or 19.1.1.4.2 18.1.1.4.2 (4.6.7 and 4.6.11), 19.1.1.4.2 (4.6.7 and 4.6.11), 43.1.2.2 (43.7) Additions Any building undergoing an addition shall comply with the requirements of Section 43.8. If the building has a common wall with a nonconforming building, the common wall is a fire barrier having at least a 2-hour fire resistance rating constructed of materials as required for the addition. Communicating openings occur only in corridors and are protected by approved self-closing fire doors with at least a 1-1/2-hour fire resistance rating. Additions comply with the requirements of Section 43.8. 18.1.1.4.1 (4.6.7 and 4.6.11), 18.1.1.4.1.1 (8.3), 18.1.1.4.1.2, 18.1.1.4.1.3, 19.1.1.4.1 (4.6.7 and 4.6.11), 19.1.1.4.1.1 (8.3), 19.1.1.4.1.2, 19.1.1.4.1.3, 43.1.2.3(43.8) 10/24/2018
07/25/2018Fire/Life/Safety0WWNK0211MEANS OF EGRESS - GENERALMeans of Egress - General Aisles, passageways, corridors, exit discharges, exit locations, and accesses are in accordance with Chapter 7, and the means of egress is continuously maintained free of all obstructions to full use in case of emergency, unless modified by 18/19.2.2 through 18/19.2.11. 18.2.1, 19.2.1, 7.1.10.1 12/11/2018
07/25/2018Fire/Life/Safety0WWNK0225STAIRWAYS AND SMOKEPROOF ENCLOSURESStairways and Smokeproof Enclosures Stairways and Smokeproof enclosures used as exits are in accordance with 7.2. 18.2.2.3, 18.2.2.4, 19.2.2.3, 19.2.2.4, 7.2 12/11/2018
07/25/2018Fire/Life/Safety0WWNK0343FIRE ALARM SYSTEM - NOTIFICATIONFire Alarm - Notification 2012 EXISTING Positive alarm sequence in accordance with 9.6.3.4 are permitted in buildings protected throughout by a sprinkler system. Occupant notification is provided automatically in accordance with 9.6.3 by audible and visual signals. In critical care areas, visual alarms are sufficient. The fire alarm system transmits the alarm automatically to notify emergency forces in the event of a fire. 19.3.4.3, 19.3.4.3.1, 19.3.4.3.2, 9.6.4, 9.7.1.1(1) 2012 NEW Positive alarm sequence in accordance with 9.6.3.4 are permitted. Occupant notification is provided automatically in accordance with 9.6.3 by audible and visual signals. In critical care areas, visual alarms are sufficient. The fire alarm system transmits the alarm automatically to notify emergency forces in the event of a fire. Annunciation and annunciation zoning for fire alarm and sprinklers shall be provided by audible and visual indicators and zones shall not be larger than 22,500 square feet per zone. 18.3.4.3 through 18.3.4.3.3, 9.6.4 12/11/2018
07/25/2018Fire/Life/Safety0WWNK0902GAS AND VACUUM PIPED SYSTEMS - OTHERGas and Vacuum Piped Systems - Other List in the REMARKS section any NFPA 99 Chapter 5 Gas and Vacuum Systems requirements that are not addressed by the provided K-Tags, but are deficient. This information, along with the applicable Life Safety Code or NFPA standard citation, should be included. Chapter 5 (NFPA 99) 12/19/2018
07/25/2018Fire/Life/Safety0WWNK1011FIRE DOORSCommunicating openings in dividing fire barriers required by 18.1.1.4.1 & 19.1.1.4.1 shall be permitted only in corridors and shall be protected by approved self-closing fire door assemblies. (See also Section 8.3.) Openings required to have a fire protection rating by Table 8.3.4.2 shall be protected by approved, listed, labeled fire door assemblies and fire window assemblies and their accompanying hardware, including all frames, closing devices, anchorage, and sills in accordance with the requirements of NFPA 80, Standard for Fire Doors and Other Opening Protectives, except as otherwise specified in this Code. NFPA 101 (2012 edition) 18.1.1.4.1.1 & 19.1.1.4.1.2, 8.3.3.1. 10/24/2018
05/30/2018ComplaintTJQ1BB000INITIAL COMMENTS  
03/13/2018Complaint02ZMH0190HEALTH INFORMATION MGMT - MEDICAL RECORDS59A-3.270(3) Each hospital shall maintain a current and complete medical record for every patient seeking care or service. The medical record shall contain information required for completion of birth, death and still birth certificates, and shall, contain the following information: (a) Identification data; (b) Chief complaint or reason for seeking care; (c) Present illness; (d) Personal medical history; (e) Family medical history; (f) Physical examination report; (g) Provisional and pre-operative diagnosis; (h) Clinical laboratory reports; (i) Radiology, diagnostic imaging, and ancillary testing reports; (j) Consultation reports; (k) Medical and surgical treatment notes and reports; (l) Evidence of appropriate informed consent; (m) Evidence of medication and dosage administered; (n) A copy of the Patient Care Record, in accordance with subsection 64J-1.001(18), F.A.C., if the patient was delivered to the hospital by ambulance; (o) Tissue reports; (p) Physician, ARNP, PA and nurse progress notes; (q) Principal diagnosis, secondary diagnoses and procedures when applicable; (r) Discharge summary; (s) Appropriate social work services reports, if provided; (t) Autopsy findings when performed; (u) Individualized treatment plan; (v) Clinical assessment of the patients needs; (w) Certifications of transfer of the patient between hospitals as specified by Rule 59A-3.255, F.A.C.; and (x) Routine Inquiry Form regarding request for organ donation in the event of the death of the patient. 395.3025(6) Patient records shall contain information required for completion of birth, death, and fetal death certificates. 04/10/2018
03/13/2018Complaint68O2NoneNoneNoneNone
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