Inspection
Inspection Details
Equipment ID
5863
5863
Inspection Date
5/9/2023
5/9/2023
Inspection Type
Annual Inspection
Annual Inspection
Inspector Name
David Folkert
David Folkert
Mechanic Name
Relief Valve Pressure
340
340
Slide
Na
Na
Governor Rope Pull
Na
Na
Door Closing Force
20
20
External ID
ddded922-9aec-4ac2-8665-c20e37c270fc
ddded922-9aec-4ac2-8665-c20e37c270fc
Location
Nodaway Nursing Home
22371 State Hwy 46, Maryville, MO
Phone: (660) 562-2876
22371 State Hwy 46, Maryville, MO
Phone: (660) 562-2876
Owner
Attn: Jennifer Jewett, LNHA
Tiffany Care Centers
22371 State Hwy 46, Maryville, MO 64468
Phone: (660) 562-2876
Email: jjewett@tcc4care.com
Tiffany Care Centers
22371 State Hwy 46, Maryville, MO 64468
Phone: (660) 562-2876
Email: jjewett@tcc4care.com
Billing
Same as Owner
Violations
| Code | Item | Section | Reinspection | Red Tag | Reason For Violation | Fixed Date |
|---|---|---|---|---|---|---|
| MO Minimum : Elevators | (O) - Existing Hydraulic Elevators | (O)2(B) | Provide testing of pressure relief valve | 7/17/2018 | ||
| MO Minimum : Elevators | (S) - Fire Service | (S)1 | x | Fire service phase 1 operation does not recall elevator. | 7/11/2018 | |
| MO Minimum : Elevators | (G) - Maintenance, Repair and Replacements | (G)1 - Car Emergency Systems - 8.6.4.15 (bell, phone & Emergency lighting) | x | Emergency phone does not operate. | 10/13/2020 | |
| MO Minimum : Elevators | (S) - Fire Service | 211.7 Firefighters Operations/Signage | Post firefighter instructions next to hall fire keyswitch. | 7/16/2021 | ||
| MO Minimum : Elevators | (S) - Fire Service | 8.6.11.1 Monthly Test and Log | Test firefighters operation monthly and provide documentation inside machine room. | 7/16/2021 | ||
| MO Minimum : Elevators | (G) - Maintenance, Repair and Replacements | 8.6.1.4 Maintenance records | Post emergency evacuation of passengers procedure inside machine room. | 7/16/2021 | ||
| MO Minimum : Elevators | (G) - Maintenance, Repair and Replacements | 8.6.5.5.2 Oil Leakage Collection | Gravity flow cylinder drain lines installed in hydraulic tank. Remove drain lines from tank. Each drain line needs its own collection device located in pit, with no more than 5 gallon capacity | 7/16/2021 | ||
| MO Minimum : Elevators | (H) - Machine Rooms | (H)2 | Machine room access door shall be self-locking | 7/16/2021 | ||
| MO Minimum : Elevators | (I) - Pits | (I)6 (Pit Lighting) | Pit light fixture does not illuminate due to previous water damage. | 7/16/2021 | ||
| MO Minimum : Elevators | CSR 40-5.100 State Operating Certificate | 5.100(2) Display of Operating Certificate | Post current state operating certificate inside the machine room | 7/16/2021 | ||
| MO Minimum : Elevators | (G) - Maintenance, Repair and Replacements | (G)1 - 8.6.4.15 Car Emg Sys (Phone or alarm not functioning Mandatory Re-Inspection due in 14 days) | x | Emergency phone does not operate. | 7/20/2022 | |
| MO Minimum : Elevators | (G) - Maintenance, Repair and Replacements | 8.6.1.4 Maintenance records | No hard copy maintenance records on site | 6/7/2022 | ||
| MO Minimum : Elevators | (H) - Machine Rooms | (H)2 | Machine room access door shall be self-locking and non-defeatable | 11/15/2023 | ||
| MO Minimum : Elevators | (S) - Fire Service | 211.7 Firefighters Operations/Signage | Replace incorrect firefighter instructions next to hall firefighter keyswitch | 11/15/2023 | ||
| MO Minimum : Elevators | (I) - Pits | (I)1 | Remove standing water in elevator pit | 11/15/2023 | ||
| MO Minimum : Elevators | (H) - Machine Rooms | (H)2 | PROVID A SELF LOCKING MACHINE ROOM DOOR | 8/12/2024 | ||
| MO Minimum : Elevators | (H) - Machine Rooms | (H)4 | REMOVE ALL NON-ELEVATOR RELATED ITEMS FROM MACHINE ROOM | 8/12/2024 |