NHS Fife is undertaking a review of its crumbling buildings at Stratheden Hospital.
The “desperate state” of NHS facilities across Scotland was revealed this week in maintenance lists released under freedom of information legislation.
Urgent repairs were required at a total of 35 sites operated by the Fife board.
At Stratheden Hospital for patients with mental health issues, a total of 117 issues were identified.
Among them was the use of “flammable horse hair” for insulation in the main hall and joiners workshop.
There were also unearthed electrical distribution boards, a lack of fire alarms in some locations and insufficient emergency lighting at an escape route.
And exposed wiring was found in a number of rooms at wards 15 and 16.
NHS Fife said the majority of pending repairs were in areas no longer in use.
It is considering what buildings to dispose of.
The maintenance data was obtained by the Scottish Conservatives following freedom of information requests to health boards across Scotland.
North East Fife MSP Willie Rennie said: “Patients and staff deserve better than this.
“The maintenance backlog is a serious health and safety matter that must be addressed with greater sense of urgency by ministers.
“The age of the health service buildings is part of the reason for these damning revelations but this is no excuse.
“We need ministers to set out urgently how they will address this.”
NHS Fife’s director of estates, facilities and capital services, Andrew Fairgrieve, said: “Stratheden is our oldest site, with parts of the estate dating back over 150 years. As such it is expected that there will be areas which require ongoing maintenance.
“The majority of maintenance issues highlighted on-site are in buildings which have been vacated and are no longer occupied.
“Patient and staff safety is our priority and accordingly all maintenance issues that arise in occupied buildings are fully risk assessed and prioritised, with action plans in place.
“We are in the process of undertaking a review of the unoccupied buildings on-site and assessing whether they are surplus to requirements. Until this is completed we are obliged to report any maintenance issues through our estates management systems.”
