A report into a Co Clare nursing home has found that inspectors were very concerned that adequate precautions were not in place against the risk of fire.
The inspection report, carried out by the Health Information and Quality Authority into St Joseph's Hospital in Ennis, also said it was not satisfied that the provider had adequately acted on the recommendations of an internal investigation commissioned following, what the report describes as, "a critical incident" in March 2014.
According to the findings, the inspector was not satisfied that adequate risk assessments were in place for residents who consumed tobacco.
The report says that given the risks identified, the hospital was issued with an immediate action plan to immediately address the completion of risk assessments.
HIQA says a satisfactory response was received within the required time frame.
The report states that the inspector found the premises to be visibly clean, in good repair and in fairly good decorative order.
However, it notes the design and layout did not promote the privacy, independence and quality of life of residents.
It says there were insufficient numbers of showers and this was compounded by the lack of adequate and suitable storage facilities.
The unannounced inspection was carried out in August 2014.
The report says the centre is currently registered to accommodate a maximum of 120 residents, on the day of inspection there were 104 residents.