Inspection
Inspection Details
Equipment ID
5863
5863
Inspection Date
5/28/2025
5/28/2025
Inspection Type
Annual Inspection
Annual Inspection
Inspector Name
Dennis Smith
Dennis Smith
Mechanic Name
Jerry Reasoner
Jerry Reasoner
Relief Valve Pressure
330
330
Slide
N/A
N/A
Governor Rope Pull
N/A
N/A
Door Closing Force
16
16
External ID
e46c19d8-2848-4913-9849-c55bf495a6f8
e46c19d8-2848-4913-9849-c55bf495a6f8
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: awymore@primehm.com
Tiffany Care Centers
22371 State Hwy 46, Maryville, MO 64468
Phone: (660) 562-2876
Email: awymore@primehm.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 |