29 Feb 2008
Name Ilana Reisin
E-mail ireisin@dhh.la.gov
Facility Name New Orleans Adolescent Hospital (NOAH)__!1Ad1Ca
Facility CEO Richard Kramer
Facility Address 210 State Street
New Orleans, LA 70115
Facility Description (Brief) Facility Description (Brief)
# Beds - Adult 30
# Beds - Child & Adol 15
# Beds - Sub Abuse
# Beds - Forensic
# Beds - MR/DD
# Beds - TotaL 45
# Beds - CMS Distinct Part 30
Survey Type Unannounced
Surveying Agency JCAHO
Survey Dates (inclusive) 2/26-29/08
Survey Days (e.g., Mon - Weds) Tues-Fri
Number of Surveyors 2
Priority Focus Areas Can't recall
Last Survey Ending Date 4/25-27/05
Profile - Surveyor #1 Edith A. Barrett, RN [EAB]
•Team Leader
•Trained in TJC BHC Manual
•Experienced surveyor, fair
Profile - Surveyor #2 Neil J. Bryant, MS [NJB]
•Life Safety Code Specialist
# of Non-Compliant Standards 3
APR/NPSG Cites (Tag#/EP#/Brief Descrip/Surveyor)
*NPSG 15A EP#1 [EAB]
--Record did not ID specific factors that may increase or decrease risk of suicide
RI/PC/MM/IC Cites (Stnd#/EP#/Brief Descrip/Surveyor)
- •PC.5.20 EP#3 - 2 of 3 students did not have immunizations records [EAB]
--Glucometers used for pt testing have onlyone level of testing
PI/LD/HR/IM Cites (Stnd#/EP#/Brief Descrip/Surveyor)
EC Cites (Stnd#/EP#/Brief Descrip/Surveyor)
--Fire wall with non-rated door/frame
--fire doors did not have latching hardware
--door coordinator prevented closing and latching
--non-rated foramused to seal penetration
--storage room not protected with automatic fire sprinkler
- EC.5.40 EP#1,3,8,12,13,15 [NJB]
--Fire alarm inspection reports did not include supervisory devices
--Quarterly inspections of automatic sprinkler system not completed
--Fire extinguisher inspection late
--5-year Standpipe system testing not completed
--R&S rooms have blind spots in the corners
MS/NR Cites (Stnd#/EP#/Brief Descrip/Surveyor)
**Surveyor Compliments (Policies, Procedures, etc noted by which surveyor)
**Misc Comments, Suggestions, Etc
Ilana Reisin
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