Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 40 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
21D
16E
2F
Potential for minimal harm
0A
0B
0C
April 17, 2025Standard inspection · 17 citations
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThis is a repeat deficiency. Based on observation, interview, and record review, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe consistent manner. This deficient practice was evidenced by the following: On 4/4/25 from 9:39 AM until 10:37 AM, the surveyor observed the following in the presence of the Food Service Director (FSD): 1. The FSD lifted the lid of the ice machine to display its contents. The surveyor noted that the ice release cover had multiple areas of brown and gray debris on it. The surveyor asked the FSD to wipe the area with a paper towel. The FSD wiped the ice release cover and then showed the surveyor the paper towel which was then soiled with a brown substance. The FSD stated that if the substance were mold, it would be black, not brown in color. [...]
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to revise a resident's individual comprehensive care plan after psychotropic medications were discontinued for 1 of 3 residents (Resident #38) reviewed for mood and behavior. This deficient practice was evidenced by the following: On 4/4/25 at 10:13 AM, the surveyor observed Resident #38 lying in bed. The resident was not experiencing any behaviors at that time. A review of the admission Record, an admission summary, revealed the resident had diagnoses which included, but were not limited to, unspecified dementia and unspecified psychosis. [...]
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, record review, and review of facility documentation, it was determined that the facility failed to: a.) administer medications according to manufacturers' instructions for 1 of 2 nurses observed during the medication administration pass, b.) ensure the accountability of the narcotic shift to shift count logs were completed for 1 of 3 medication carts inspected, and c.) complete and maintain copies of Federal narcotic order forms (DEA 222 forms) for 3 of 3 DEA 222 forms reviewed. This deficient practice was evidenced by the following: 1.) On 4/7/25 at 9:20 AM, the surveyor observed Licensed Practical Nurse (LPN) #5 prepare medications for Resident #95. The LPN dispensed six medications, including a ferrous sulfate elixir 220 mg (milligrams)/5 ml (milliliters). [...]
- E
Ensure medication error rates are not 5 percent or greater.
Inspectors wroteREPEAT DEFICIENCY Based on observation, interview, record review, and review other facility documentation, it was determined that the facility failed to maintain a medication error rate of less than 5%. This deficient practice was identified for 2 of 2 nurses on 2 of 3 units (A Wing and C Wing) administering medications to 2 of 6 residents (Resident #137 and #231) making 2 errors out of 26 medication opportunities which resulted in a medication error rate of 7%. This deficient practice was evidenced by the following: 1.) On 4/7/25 at 8:30 AM, the surveyor observed Licensed Practical Nurse (LPN) #3 administer medications to Resident #231. The LPN dispensed four medications, including one tab of multivitamin with minerals. After administering the medications, the LPN signed off an order for plain multivitamin as administered (Error #1). [...]
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, record review, and review other facility documentation, it was determined that the facility failed to a.) properly secure medication within the medication cart for 2 of 2 nurses observed during the medication administration pass, and b.) store medications within acceptable temperature ranges for 2 of 3 medication storage areas (B Wing and C Wing) reviewed for medication storage. This deficient practice was evidenced by the following: 1.) On 4/7/25 at 8:20 AM, the surveyor observed Licensed Practical Nurse (LPN) #3 prepare medications for Resident #30. When the nurse entered the resident's room to administer the resident's medications, she did not lock the medication cart before leaving the medication cart unattended. On 4/7/25 at 8:30 AM, the surveyor observed LPN #3 prepare medications for Resident #231. [...]
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on interview and document review, it was determined that the facility failed to ensure that all residents that maintained a Personal Needs Account (PNA) that approached the limit that could jeopardize a resident's eligibility for Medicaid or Supplemental Security Income (SSI) received a written notification. This deficient practice was identified for all residents who maintained Personal Needs Accounts at the facility and was evidenced by: A review of the Patient Fund Balances Report through 4/4/2025 revealed a list of 171 active resident names with a balance of $104,879.71. There were nine (9) residents listed with PNA funds that range from $2,014.77 to $2,723.14. [...]
- D
Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on interviews and a review of facility provided documents, it was determined that the facility failed to provide Saturday mail services to residents. This deficient practice was identified for one (1) of one (1) resident interviewed during the Resident Council group meeting (Residents #50) and was evidenced by the following: On 4/7/25 at 10:44 AM, the surveyor conducted the Resident Council (RC) meeting with Residents #50, #74, #115, #137, and #152. During RC, the surveyor asked the residents if they received mail on Saturdays and Resident #50 stated that he/she never received mail on a Saturday while living at the facility. Residents #115 and #137 stated they did not normally receive mail on a regular basis because nobody sent them mail. Residents #74 and #152 did not reply when asked if they received mail on Saturdays. [...]
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, interview, and review of other facility documentation, it was determined that the facility failed to maintain the resident's room in a sanitary and homelike manner. This deficient practice was evidenced on 1 of 3 resident units (C-Wing) and was evidenced by the following: On 4/4/25 at 10:10 AM, during the initial tour, the surveyor entered an unsampled resident's room (room [ROOM NUMBER]-B). The bed remote was noted to have a buildup of a hard brown substance. The bed frame contained a buildup of dust and small particles. The windowsill was also noted to have a buildup of dust. On 4/8/25 at 10:41 AM, the surveyor interviewed the Housekeeper (HSK), who stated that she cleaned the bed frames and windowsills every day. On 4/8/25 at 12:34 PM, the surveyor interviewed the Environmental Services Director (EVSD), who stated that she was fully staffed. [...]
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on the interview, record review, and review of pertinent documents, it was determined that the facility failed to ensure residents who were discharged to the community had a discharge summary that was completed by the physician. This deficient practice was identified for 1 of 1 resident, (Resident #179), reviewed for discharge. This deficient practice was evidenced by the following: On 4/7/25 at 10:16 AM, the surveyor reviewed the medical record for Resident #179. A review of the admission Record (an admission summary) reflected that the resident was admitted to the facility with diagnoses that included, but not limited to, high blood pressure, diabetes, and complications of amputation stump. [...]
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, record review, and review of facility documents, it was determined that the facility failed to administer pain medication according to the physician prescribed pain scale for 1 of 3 residents (Resident #33) reviewed for pain. This deficient practice was evidenced by: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the state of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual or potential physical and emotional health problems, through such services as case finding, health teaching, health counseling and provision of care supportive to or restorative of life and wellbeing, and executing medical regimes as prescribed by a licensed or otherwise legally authorized physician or dentist. Reference: [...]
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and review of facility documents, it was determined that the facility failed to ensure a) fall interventions were in place for a resident with a history of falls. This deficient practice was identified for 1 of 2 residents reviewed for falls (Resident #382) On 4/4/25 at 10:43 AM, the surveyor observed Resident #382 awake and alert lying in bed. The surveyor observed two blue floor mats folded and stored at the head of the bed leaning against the wall. The resident stated he/she has had falls and stated, That's why I am here. On 4/7/25 at 9:00 AM, the surveyor observed Resident #382 lying in bed with his/her eyes closed. The resident had a floor mat in place to the resident's left side, but the floor mat for the resident's right side was folded up and not in place. On 4/9/25 at 8:18 AM, the surveyor observed Resident #382 in bed with their eyes closed. [...]
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, record review, and review of facility documents, it was determined that the facility failed to ensure respiratory equipment was stored in an appropriate way to prevent the spread of infection for 2 of 4 residents (Resident #28 and #57) reviewed for respiratory care. This deficient practice was evidenced by the following: 1.) On [DATE] at 10:31 AM, the surveyor observed that Resident #28 was not in their room. The surveyor observed a nebulizer mask (a device used with a nebulizer machine to deliver medication in the form of a mist directly to the lungs through the nose and mouth) was lying directly on the nebulizer machine located on the bedside table, uncovered and not stored in a plastic bag. The surveyor observed oxygen tubing not in use lying directly on the floor. On [DATE] at 8:15 AM, the surveyor observed Resident #28 awake and alert lying in bed. [...]
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, interview, record review and review of facility documents, it was determined that the facility failed to a.) obtain a physician's order b.) obtain consent, c.) perform a side rail safety assessment, and d.) follow the facility's policy for side rail assessment and protocol prior to the application of two half side rails and two quarter side rails to a resident's bed. This deficient practice was identified for 1 of 1 resident (#13), reviewed for restraints and was evidenced by the following: On 4/4/25 at 11:15 AM, during the initial tour of the facility, the surveyor observed Resident #13 lying in bed with two bilateral half side rails and two bilateral quarter side rails in the raised position on the resident's bed. When interviewed, the resident stated that he/she used the upper side rails to reposition in bed. [...]
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to ensure that as-needed (PRN) psychotropic medications were ordered for no more than 14 days. This was identified for 1 of 5 residents (Resident #40) reviewed for psychotropic medication use . This deficient practice was evidenced by the following: On 04/10/2025, at 11:35 AM, the surveyor observed Resident #40 sitting quietly and calmly in the day room, smiling. A review of the admission Record, an admission summary, revealed the resident had diagnoses which included, but were not limited to: dementia, and major depressive disorder with psychotic symptoms. [...]
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview, record review, and review other facility documentation, it was determined that the facility failed to ensure residents' records were kept confidential for 3 of 6 residents (Resident #30, #231, and #232) observed during the medication administration pass. This deficient practice was evidenced by the following: On 4/7/25 at 8:20 AM, the surveyor observed Licensed Practical Nurse (LPN) #3 prepare medications for Resident #30. When the nurse left the medication cart to administer the resident's medications, she did not put up a privacy screen to cover the resident's record displayed on the nurse's laptop. On 4/7/25 at 8:30 AM, the surveyor observed LPN #3 prepare medications for Resident #231. [...]
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and review of facility documents, it was determined that the facility failed to maintain proper infection control practices to ensure: a.) kitchen staff performed hand hygiene at the appropriate times and adhered to proper food handling procedures during the tray line observation b.) staff performed appropriate hand hygiene during meal service for 1 of 3 dining rooms observed (A Wing). This deficient practice was evidenced by the following: 1. On 4/9/25 at 12:16 PM, during a follow-up visit to the kitchen to observe the lunch meal tray line service, the surveyor observed [NAME] #1 who washed her hands at the handwashing sink for 21 seconds. [NAME] #1 then proceeded to donn (put on) a pair of gloves prior to preparing to obtain food temperatures from the steam table. [...]
- D
Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview and review of other pertinent facility documentation, it was determined that the facility failed to ensure full implementation of the antibiotic stewardship program, including ongoing monitoring and use of a nationally recognized surveillance criteria when antibiotics were being prescribed. This deficient practice was identified for 3 of 3 residents (Resident #50, #78, and #124) reviewed for antibiotic stewardship. This deficient practice was evidenced by the following: On 4/9/2025 at 11:04 AM, the surveyor interviewed the Infection Preventionist (IP) regarding the facility's Antibiotic Stewardship Program (efforts to ensure that antibiotics are used only when necessary and appropriate). The IP stated that she had worked at the facility full-time since February 24, 2025. [...]
December 27, 2023Complaint inspection · 1 citation
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteComplaint #: 165979 Based on observation, interviews, review of the medical record, and other pertinent facility documentation on 12/29/23, it was determined that the facility failed to consistently document Activities of Daily Living (ADL) care as being provided to Resident #3 on the ADL Documentation form. This deficient practice was identified for 1 of 5 residents (Resident #3) reviewed for ADL care and evidenced by the following: Review of the admission Record revealed that Resident #3 was admitted to the facility on 6/2023 with medical diagnoses which included but were not limited to: Unspecified Dementia, Cerebral Palsy (a condition marked by impaired muscle coordination), Cerebral Infarction (disrupted blood flow to the brain), and Anxiety. [...]
April 11, 2023Standard inspection · 21 citations
- K
Provide and implement an infection prevention and control program.
Inspectors wroteb. Nursing staff failed to wear gloves and/or perform hand hygiene while performing FSBS. 1. Review of R61's admission Record, located under the Profile tab of the EMR revealed the resident was admitted to the facility on [DATE] with diagnoses that included type 2 diabetes mellitus with diabetic neuropathy and dementia with behavioral disturbance. Review of R61's Physician Order, dated 06/28/22 and located under the Orders tab of the EMR, revealed R61 was to receive a fingerstick blood sugar (FSBS) test two times a day every two days. 2. Review of R150's admission Record, located under the Profile tab of the EMR, revealed the resident was admitted to the facility on [DATE] with diagnoses that included diabetes mellitus and schizoaffective disorder. Review of R150's Physician Order, dated 01/25/23, indicated R15 was to receive a FSBS test two times a day every seven days. [...]
- F
Assure the security of all personal funds of residents deposited with the facility.
Inspectors wroteBased on interview and record review, the facility failed to have a surety bond in an amount large enough to cover the highest daily balance of the residents' trust fund account. This had the potential to affect 164 of 164 residents whose trust fund monies were held by the facility.
- E
Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to ensure a call light was within reach for four of four residents (Resident (R) 14, R41, R65, R68) reviewed for call lights out a total sample of 47 residents.
- E
The resident has the right to receive notices in a format and a language he or she understands.
Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure information on the role of the State Ombudsman as an advocate was provided for three of three residents (Resident (R) 79, R46, and R88) reviewed in a total sample of 47 residents. This deficient practice resulted in the potential for lack of access to the State Ombudsman Advocacy Group.
- E
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Inspectors wroteBased on observation and staff interviews, the facility failed to post in prominent locations the contact information for the Office of the State Long-Term Care Ombudsman program to include the name of the ombudsman, business address (mailing and email) and business number to ensure residents and resident representative were able to file a complaint. The resident census was 164 on the first day of survey.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on interviews, record review, and policy review, the facility failed to make prompt efforts to resolve grievances, document evidence of investigations and resolutions for five of 12 grievances provided by the facility for review. Additionally, the facility failed to discuss the resolution or lack thereof with residents and family members.
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview and record review, the facility failed to complete Pre-admission Screening and Resident Review (PASRR) Level 1 Screenings accurately and/or with new major mental illness diagnoses for three (Resident (R) 152, R34, and R141) of 47 sampled residents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wrote2. Review of R41's admission Record, located in the EMR under the Profile tab, revealed the resident was admitted to the facility on [DATE] with diagnoses of hemiplegia and hemiparesis (paralysis and weakness) following cerebral infarction (stroke), and repeated falls. Review of R41's quarterly MDS with an ARD of 02/05/23 revealed the resident had a Brief Interview for Mental Status (BIMS) score of two out of 15, which indicated R41 was severely cognitively impaired and was totally dependent on the staff for personal hygiene. Review of R41's Care Plan, initiated 05/03/21 and located in the EMR under the Care Plan tab, revealed: R 41 requires extensive assist with daily bathing, dressing and hygiene; Intervention: R41 will need extensive assist of . hygiene. During an observation and interview on, 04/03/23 at 10:03 AM, R41 was observed appearing unshaven. [...]
- E
Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, record review, interview and review of facility policy, the facility failed maintain a medication error rate below five percent. Out of 37 opportunities there were five errors/omissions occurred during medication administration on one (A Wing) of three wings. The facility's medication error rate was 13.51%
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to provide food storage in a safe and consistent manner, for one of three (Unit B) pantry refrigerators, and for one of one kitchen observed for food storage. This had the potential to affect 161 of 164 residents who consumed food from the kitchen, with possible foodborne illnesses related to the sanitation of food being stored and served.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure that an admission record was completed for three residents (Resident (R)18, R137, and R141) in a total sample of 47 residents.
- E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on record review, interviews, and policy review, the facility failed to ensure that binding arbitration agreements were explained in a form and manner that residents understood, and failed to inform the resident that they had the right to rescind the agreement within 30 days of signing, for three residents (Resident (R)101, R103, and R152) of three residents reviewed for binding arbitration agreements out of a total sample of 47 residents
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on interview and review of facility documentation, the Quality Assurance (QA) committee failed to identify and take corrective action related to the following quality deficiencies: 1. sanitizing multi-use glucometers before and after each resident; 2. binding arbitration agreements; 3. surety bond; and 4. medication administration errors.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on interview, record review, and policy review, the facility failed to facilitate resident council meetings for three of three consecutive months (January 2023, February 2023, and March 2023) and to consistently respond to issues and concerns presented by resident council members, and/or discuss and document its responses to the resident's grievances and recommendations with the Resident Council President (Resident (R) 79).
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to ensure that residents received assistance with formulating Advance Directives and had completed Physician's Orders for Life-Sustaining Treatment (POLST) forms for three (Residents (R)18, R93, and R76) of 12 residents reviewed for Advance Directives in a total sample of 47 residents.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, record review, and interview, the facility failed to develop all care plans for two residents (Resident (R)76 and R159) out of a total sample of 47 residents.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observations, record review, interview, and review of facility policy, the facility failed to revise care plans for one resident (Resident (R)64) out of a total sample of 47 residents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to consistently implement necessary treatment and services to a pressure ulcer to for one of five residents (Resident (R)41) reviewed for pressure ulcers out of total sample of 47 residents
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to provide adequate monitoring and supervision for 12 (Resident (R) 98, R36, R149, R159, R5, R99, R113, R32, R100, R102, R124, and R129) of 32 residents that required supervision per the smoking safety screen out of a total of 43 residents who smoked. The facility further failed to assess one (R129) of 42 residents that smoke. The facility failed to ensure a medication cart was locked during medication administration. The medication cart on the A 100 wing remained unlocked for 15 minutes with eye drops on top on the cart with staff members and residents passing by.
- D
Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, record review, interview, and review of facility policy, the facility failed to ensure one resident (Resident (R) 6) of eight residents observed during medication administration received the correct insulin and dosage according physicians' orders. This failure has the potential for R6 to experience either hypoglycemic (low blood sugar) or hyperglycemic (high blood sugar) readings.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, interview, record review and policy review, the facility failed to ensure one (Resident (R) 68) of 47 sampled residents had a functioning call light system.
January 28, 2021Standard inspection · 1 citation
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe and consistent manner in order to prevent foodborne illness. This deficient practice was evidenced by the following: On 1/20/21 from 9:00 AM to 9:32 AM, the surveyor, accompanied by the Floor Manager (FM), observed the following the kitchen area: 1. In the reach-in refrigerator, a plastic bin contained sliced deli ham. The plastic bin was dated, 1-12-21, which indicated that the sliced deli ham had been in the refrigerator for 8 days. A Labeling and Dating System Protocol on the refrigerator door stated, Deli Meat opened. Sliced three days. During an interview, the FM said, This is trash, I'm throwing it away. The FM threw the sliced deli ham in the trash in the presence of the surveyor. 2. [...]
Fire safety inspections
14 fire safety citations on file: 8 on April 17, 2025, 6 on April 11, 2023.
Every fire safety citation14 citations
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K 222 · April 17, 2025 · Corrected (the home has a date of correction)
- F
Install a fire alarm system that can be heard throughout the facility.
K 341 · April 17, 2025 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 17, 2025 · Corrected (the home has a date of correction)
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · April 17, 2025 · Corrected (the home has a date of correction)
- F
Meet requirements for the installation and maintenance of electrical systems.
K 911 · April 17, 2025 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · April 17, 2025 · Corrected (the home has a date of correction)
- F
Have proper medical gas storage and administration areas.
K 923 · April 17, 2025 · Corrected (the home has a date of correction)
- D
Have exits that are accessible at all times.
K 271 · April 17, 2025 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · April 11, 2023 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · April 11, 2023 · Corrected (the home has a date of correction)
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · April 11, 2023 · Corrected (the home has a date of correction)
- E
Install a fire alarm system that can be heard throughout the facility.
K 341 · April 11, 2023 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · April 11, 2023 · Corrected (the home has a date of correction)
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K 741 · April 11, 2023 · Corrected (the home has a date of correction)