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 57 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
37D
12E
2F
Potential for minimal harm
0A
2B
2C
December 19, 2025Standard inspection · 18 citations
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, and record review, it was determined that the facility failed to ensure potentially hazardous food items were cooled according to acceptable standards. These findings have the potential to affect all residents of the facility.
- F
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, and interviews, it was determined that the facility failed to ensure separation between the clean and soiled area of the laundry room was maintained to prevent cross contamination. This deficient practice has the potential to affect all residents of the facility.
- E
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 observation, record review and staff interviews it was determined that the facility failed to: 1) provide information to residents to formulate advanced directives, 2) identify a responsible party for an incapacitated resident, 3) document Advance Directive discussions in the medical record, and 4) ensure procedures for medical orders for life-sustaining treatment (MOLST). This was evident for 3 (Resident #67, Resident #6, #8) out of 4 residents reviewed for Advance Directives during the annual survey.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, record reviews and interviews, it was determined that the facility failed to ensure residents at risk for developing pressure injuries received appropriate services for treatment and prevention. This was evident for 5 (Resident #23, #25, #15, #8, and #2) of 7 residents reviewed for pressure injuries.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Inspectors wroteBased on interview and record review, the facility failed to provide quarterly financial statements to residents, as required. This deficiency was identified for 4 (# 114, # 133, #2, #138) out of 5 residents reviewed for personal funds.
- D
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 observation, record reviews and resident and staff interviews, it was determined that the facility failed to ensure that the Grievance policy and process were properly implemented. This was evident for 3 out of 3 units reviewed during the annual survey. On 12/9/25 at 12:50 PM, in an interview, a Potomac Unit resident (Resident #32) conveyed that s/he had reported a recent incident to the unit manager (Staff #17) and that nothing came of the concern. Upon intentional observation of the Potomac Unit, the surveyor did not observe the Grievance Officer's name and contact information, accessible grievance forms or anonymous grievance boxes. On 12/16/25 at 10:58 AM the Administrator in Training (AIT) reported that any staff member who received a grievance was expected to report it to the unit manager or charge nurse. [...]
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on record reviews and interviews, it was determined that the facility failed to ensure residents were free from unnecessary psychotropic medication use and failed to ensure as needed (PRN) orders for psychotropic medications were limited to 14 days. This was evident for 3 (Resident #144, #15, and #5 ) of 7 residents reviewed for unnecessary medications.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interviews and record review, the facility failed to report an allegation of misappropriation of resident property to the appropriate state agency. This deficiency affected one of one resident reviewed for abuse (Resident #65).
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on records review and interviews, it was determined that the facility failed to complete a comprehensive assessment within the mandated timeframe. This was evident for 1 (Resident #8) of 3 residents reviewed for resident assessmentsThe
- 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 record review and staff interviews, it was determined that the facility failed to ensure accuracy and timeliness of resident's comprehensive care plan. This was evident for 2 (Residents #2, #23) of 4 residents reviewed for care planning during this survey.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on resident and staff interviews and record review, it was determined that the facility staff failed to ensure that a dependent resident's personal hygiene needs were adequately met by offering and providing showers as scheduled. This was evident for 1 (Resident #4) of 5 residents reviewed for activities of daily living during the survey process. On 12/9/25 at 12:02 PM, in an interview, Resident #4 stated that s/he does not get showers as often as s/he would like. The Brief Interview for Mental Status (BIMS) revealed a score of 14 indicating adequate cognitive ability. On 12/16/25 at 9:23 AM, a review of Treatment Administration Record (TAR) in the electronic health record: Point, Click, Care (PCC) revealed Resident #4 received only six showers in November. A review of the shower assignment book revealed Resident #4's shower days as Wednesday and Saturday. [...]
- D
Provide activities to meet all resident's needs.
Inspectors wroteBased on observations, record reviews, and interviews, it was determined that the facility failed to provide activities to residents based on their comprehensive assessment to support the physical, mental, and psychosocial well-being. This was evident for 1 (Resident #9) of 3 residents reviewed for activities.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on record review, observation, and interview, it was determined that the facility failed to provide pain management in accordance with the resident's physician orders and professional standards of practice. This was evidence for 1 (R #2) of 4 residents reviewed for pain management during the recertification survey.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review, observation, and interviews, it was determined that the facility failed to 1) implement the physician's order 2) ensure that each resident's drug regimen was free from unnecessary medications, and 3) ensure appropriate medication regimen review, monitoring, and follow-up in accordance with physician orders and professional standards of practice. This was evident for 3 (Resident #3, Resident #2 and Resident #5) of 7 residents reviewed for unnecessary medications during the recertification survey.
- D
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 and interviews, it was determined that the facility failed to ensure that medications and medical equipment available for resident use were within their expiration dates. This was evident in 3 out of 3 medication storage areas reviewed during the survey.
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on interviews, observation and record review, it was determined that the facility failed to provide legible, timely and accurate facility documents as required per the Centers for Medicare and Medicaid Services (CMS) entrance conference worksheet. This was evident at the entrance conference for this survey period. On 12/8/25 at 9:20 AM the surveyor and Acting Director of Nursing DON) commenced the entrance conference. Surveyor provided and reviewed a copy of the CMS entrance conference worksheet and other applicable documents to the DON. The required documentation and timeline for compliance was reviewed. Documents that were due upon entrance and actual date and time received were: On 12/8/25 at 12:23 PM- Census On 12/9/25 at 9:45 AM- Complete matrix for new admissions Documents that were due within 4 hours of entrance and actual date and time received were: [...]
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record reviews and interviews, it was determined that the facility failed to ensure that education was provided to the resident's representative regarding the benefits and potential side effects of the influenza and pneumococcal immunizations. This was evident in 1 (Resident #71) of 5 residents reviewed for immunizations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on record reviews and interviews, it was determined that the facility failed to ensure that education was provided to the resident's representative regarding the benefits and potential side effects associated with the COVID-19 vaccine. This was evident in 1 (Resident #71) of 5 residents reviewed for immunizations.
July 2, 2024Standard inspection, Complaint inspection · 19 citations
- 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 interviews and medical record review it was determined that the facility failed to: 1) revise a Resident's care plan and 2) provide an invitation and/or invite a resident for a care plan meeting . This was evident in 4 Residents (#65, #36 #143, & #57) and 2 Residents (#63 and #38) out of 10 residents reviewed for care planning.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews and record review, it was determined that the facility failed to ensure sanitary and safe food handling practices were followed to reduce the risk of foodborne illness. This deficient practice has the potential to affect all residents.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observations and interview, it was determined that the facility failed to ensure a process was in place to address preventative maintenance of hallway handrails, residents' closets, sofas and wheelchairs. This was evident during multiple tours on the Gateway Unit during the recertification survey.
- D
The resident has the right to receive notices in a format and a language he or she understands.
Inspectors wroteBased on observations, and interviews, it was determined that the facility failed to provide an accurate mailing address, email address, and telephone number for the State regulatory agency. This was found in 2 of 2 postings located in the facility corridors.
- D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation, survey results book review and interview, it was determined that the facility failed to have survey results available for the most recent surveys and reports of the facility readily available for review.
- 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 medical record review and interviews, it was determined that the facility staff failed to obtain advance directives for residents. This was found evident for 3 (Resident #26, #38, and #122) of 8 Residents reviewed for advanced directives during an annual survey.
- D
Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation and interview, it was determined that the facility staff failed to provide privacy for resident's protected health information. This was evident for 1 (Resident #239) of 67 residents reviewed during an annual survey.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interviews and medical record review it was determined the facility failed to provide notification to the Ombudsman of the Resident that transferred to the hospital. This was evident in 1 Resident #123 out of 4 Residents reviewed for hospitalization notification.
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased medical record review and staff interview, it was determined the facility staff failed to ensure Minimum Data Set (MDS) assessments were accurately coded. This was evident for 1 (Resident #65) of 67 residents selected for review during the recertification survey.
- 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 record review, and staff interview, it was determined that the facility staff failed to develop and initiate comprehensive person-centered care plans for residents. This was evident for 3 (Resident #65, #36 and #80) of 10 residents reviewed for comprehensive care plannig.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review and interviews, it was determined that the facility failed to turn and reposition residents at risk for pressure ulcers. This was evident for 2 (Resident #26 and #158) of 4 residents reviewed for positioning during an annual survey.
- D
Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on interview and record review it was determined that the facility staff failed to promptly make appointments for the proper diagnosis and treatment of vision impairment conditions. This was found to be evident for 1 (Resident #38) out of 2 residents reviewed for vision services during an annual survey.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation and interviews, it was determined that the facility staff failed to ensure residents are not exposed to hazards. This was evident for 1 (Resident #26) of 67 residents reviewed during an annual survey.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and interviews it was determined that the facility staff failed to track the pharmacy's irregularity monthly recommendation, assure the review by the medical staff and have timely action by the medical staff in response to the recommendation. This was found evident of 1 (#26) of 5 residents reviewed for medication regimen review during an annual survey.
- D
Provide or obtain dental services for each resident.
Inspectors wroteBased on interview, observation and record review it was determined that the facility staff failed to promptly provide or obtain visit/appointments for routine dental care or treatment for Medicaid Residents. This was found to be evident for 1 (Resident #33) out of 3 residents reviewed for dental services during an annual survey.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interviews, and record review, it was determined that the facility failed to maintain medical records in accordance with acceptable professional standards and practices by keeping complete and accurate documentation. This was found evident in 5 (Resident #154, #143 #121 #26 and #158) of 67 residents reviewed during the survey.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interviews it was determined that the facility failed to follow appropriate infection prevention and control practices to prevent the development and transmission of disease and infection. This was found to be evident on 5 random observation during the annual recertification survey.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on a review of a facility reported investigation, clinical record review, and staff interview it was determined that the facility staff failed to prevent abuse of a resident. This was evident for 1 (#155) out of 67 residents in the resident sample.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on an investigation into a facility reported incident, clinical record review, and staff interview it was determined that the facility staff failed to ensure an incident of alleged abuse was reported immediately to the Administrator and to the state agency. This was evident for 1 (#155) out of 67 residents that were part of the survey sample.
August 28, 2019Standard inspection · 20 citations
- J
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on surveyor review of clinical records, facility policies and procedures, and resident and staff interview(s), it was determined that facility staff failed to ensure that residents who lacked decision making capacity had an identified decision maker that could act on the resident's behalf for the resident's best interest. In addition, the facility failed to notify the hospital of the determination that a resident being transferred for evaluation lacked decision making capacity. This finding was the result of investigation of complaint #MD00142746, which was evident for 1 (#49) of 2 residents reviewed for hospitalization during the survey. On 08-22-19 at 7:00 PM, an immediate jeopardy (IJ) for resident rights/exercise of rights was determined. [...]
- J
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Inspectors wroteBased on review of clinical records, facility policies and procedures, hospital and ambulance company records, interviews with facility, hospital and ambulance company staff, it was determined that the facility failed to allow a resident to return to the facility after being transferred to the emergency room for evaluation. This was evident for 1 of 2 (#49) records reviewed for hospitalization during the survey, and was related to complaint #MD00142746. These failures resulted in an immediate jeopardy (IJ) being identified on 8-22-19 at 7:00 PM related to the facility's refusal to readmit a resident to the facility following evaluation at a community hospital (Resident #49). On 8-23-19 at 12:38 AM, the facility staff submitted an IJ removal plan which was accepted. The IJ was removed on 8-27-19 at 3:30 PM after confirmation that the accepted plan had been fully executed. [...]
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical records review, resident representative interview and staff interview, it was determined that the facility staff failed to notify a resident's responsible party when the resident had a change in status. This finding was evident for 1 of 2 residents reviewed for hospitalization during the survey (#49).
- E
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 surveyor observation and interviews with staff, it was determined that the facility failed to maintain a comfortable temperature between 71 to 81°F. This was evident for 1 of 3 nursing units (Rosemary/Chesapeake) observed during the survey.
- 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 record review, interviews with residents, resident representatives and facility staff, it was determined that the facility failed to ensure that interdisciplinary care plan conferences were conducted timely after each MDS assessment and failed to update resident care plans accurately. This finding was evident for 11 of 33 (#19, 40, 99, 3, 47, 71, 41, 65, 69, 97 and 135) residents selected for review during the survey.
- E
Plan the resident's discharge to meet the resident's goals and needs.
Inspectors wroteBased on clinical records review, resident representative interview and staff interview, it was determined that the facility staff failed to to provide effective discharge planning for resident #49. This finding was evident for 1 of 2 residents reviewed for discharge during the survey.
- E
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on surveyor review of the clinical record and staff interview, it was determined that the facility staff failed to provide appropriate assistance in establishing a clearly defined authorized decision maker for a resident deemed to be incapacitated. (#49) This finding was evident in the investigation of complaint #MD00142746 which was valid.
- E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on surveyor review of clinical records, and staff interview, it was determined that facility administrative staff failed to recognize the rights of an incapacitated resident, failed to permit the resident to return to the facility after an emergency room visit, and failed to involve the authorized decision maker in the discharge planning process. (#49) This finding was evident during the investigation of complaint MD00142746 which was valid.
- E
Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased on surveyor review of the clinical record and staff interviews, it was determined that facility staff failed to provide evidence that the Quality Assurance Committee had made good faith attempts to address deficient practice identified by the committee as it related to social services. On 08-22-19 at 5:30 PM, interview with the director of nursing revealed that it was social services responsibility to ensure that the correct information was in the clinical record on who had guardianship, or who was the authorized decision maker. The director of nursing also added, nursing is not responsible for that, social services is. We would not have known the information on the face sheet was incorrect. [...]
- D
Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on facility administrative and clinical record review and staff interviews, it was determined that the facility staff failed to protect resident #403's right to personal privacy. This finding was evident for 1 of 18 residents reviewed during the revisit survey.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on clinical record review, surveyor observation, and interviews with staff and local law enforcement authorities, it was determined that the facility staff failed to recognize a resident's right to be free from neglect. This finding was evident for 1 of 3 residents reviewed for abuse/neglect care area (#403).
- D
Respond appropriately to all alleged violations.
Inspectors wroteBased on interviews with facility staff and review of a facility investigation involving an alleged employee to resident case of abuse, it was determined that the facility failed to thoroughly investigate an alleged employee to resident abuse incident. This finding was evident for 1 of 2 residents reviewed for abuse during the survey.
- 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 clinical record review, facility staff interview, and hospital social staff interview, it was determined that the facility failed to provide a safe and effective transition of care during a facility-initiated transfer. In addition, the facility failed to ensure that a facility-initiated discharge was necessary to meet the needs of resident #49. This was evident for 1 of 2 (#49) records reviewed for hospitalization during the survey and is related to MD00142746.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review, resident representative interview and staff interview, it was determined that the facility staff failed to notify a resident's representative before transferring a resident out of the facility. In addition, the facility failed to provide a notice of discharge 30 days prior to the discharge. This finding was evident for 1 of 2 residents reviewed for hospitalization during the survey. (#49)
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on surveyor review of the clinical record, it was determined that the facility staff failed to follow a physician's order to hold a medication based on established parameters. This finding was evident in 1 of 3 records selected for review of the discharge care area during the revisit survey. (#71)
- 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 record review and interview with facility staff, it was determined that the facility failed to document the rationale or duration of an as needed (PRN) psychotropic medication in a resident's medical record. This finding was evident for 1 of 9 (#80) residents selected for review of unnecessary medications during the survey.
- C
Hire a qualified full-time social worker in a facility with more than 120 beds.
Inspectors wroteBased on surveyor review of the clinical record, review of employee files and interview with facility staff, it was determined that the facility failed to ensure that there was a qualified social worker on a full time basis for a facility with more than 120 beds.
- C
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on surveyor review of the facility's Quality Assessment and Assurance minutes, social services consultant audits and interviews with facility staff, it was determined that the facility failed to develop and implement an appropriate plan of action to correct identified quality deficiencies in relationship to care plan conferences and social services.
- B
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on surveyor observation, record review and interviews with facility staff, it was determined that the facility failed to accurately complete resident assessments. This was evident for 2 of 33 (#78, 80) residents selected for review during the survey.
- B
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interviews with facility staff, it was determined that the facility failed to maintain accurate, complete, and readily accessible resident medical records. This finding was evident for 4 of 33 residents (#23, 47, 66 and 71) selected for review during the survey.
Fire safety inspections
25 fire safety citations on file: 5 on December 19, 2025, 15 on July 2, 2024, 5 on August 28, 2019.
Every fire safety citation25 citations
- F
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
K 343 · December 19, 2025 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · December 19, 2025 · Corrected (the home has a date of correction)
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K 223 · December 19, 2025 · Corrected (the home has a date of correction)
- E
Have restrictions on the use of portable space heaters.
K 781 · December 19, 2025 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · December 19, 2025 · Corrected (the home has a date of correction)
- F
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · July 2, 2024 · Corrected (the home has a date of correction)
- F
Conduct testing and exercise requirements.
E 39 · July 2, 2024 · Corrected (the home has a date of correction)
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · July 2, 2024 · Corrected (the home has a date of correction)
- F
Install proper backup exit lighting.
K 281 · July 2, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · July 2, 2024 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · July 2, 2024 · Corrected (the home has a date of correction)
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · July 2, 2024 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · July 2, 2024 · Corrected (the home has a date of correction)
- E
Meet other general requirements.
K 100 · July 2, 2024 · Corrected (the home has a date of correction)
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K 223 · July 2, 2024 · Corrected (the home has a date of correction)
- E
Install a fire alarm system that can be heard throughout the facility.
K 341 · July 2, 2024 · Corrected (the home has a date of correction)
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
K 362 · July 2, 2024 · Corrected (the home has a date of correction)
- E
Meet other general requirements that are deficient.
K 500 · July 2, 2024 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · July 2, 2024 · Corrected (the home has a date of correction)
- D
Have proper medical gas storage and administration areas.
K 923 · July 2, 2024 · Corrected (the home has a date of correction)
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K 374 · August 28, 2019 · Corrected (the home has a date of correction)
- D
Meet requirements for the installation and maintenance of electrical systems.
K 911 · August 28, 2019 · Corrected (the home has a date of correction)
- C
Construct fire resistant interior walls.
K 331 · August 28, 2019 · Corrected (the home has a date of correction)
- C
Inspect, test, and maintain automatic sprinkler systems.
K 353 · August 28, 2019 · Corrected (the home has a date of correction)
- C
Have proper medical gas storage and administration areas.
K 923 · August 28, 2019 · Corrected (the home has a date of correction)