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 60 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
40D
16E
2F
Potential for minimal harm
0A
1B
1C
August 5, 2025Standard inspection, Complaint inspection · 13 citations
- E
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to accurately code the residents' status in the Minimum Data Set Assessment. This was evident for 4 (Resident #138, Resident #1, Resident #4 and Resident #10) out of 8 residents reviewed for Accuracy of Assessments.
- 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, facility documentation, and staff interviews, it was determined that the facility failed to maintain refrigerated food temperatures at a safe level. This was found to be evident for the 3rd floor nourishment room refrigerator during the annual survey.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on resident interview, facility documentation review, and staff interviews, it was determined that the facility failed to ensure that a resident's requested shower preference was honored. That was found to be evident in 1 (Resident #11) of 3 residents reviewed for choices during the annual survey. The findings Include: On 7/24/2025 at 10:30 AM, Resident #11 was interviewed by the survey team. When questioned by the surveyor if they had received a shower this week, Resident #11 shook their head no. When the resident was asked if they would like to receive showers, the resident nodded their head and said yes. On 7/28/2025 at 10:30 AM, Resident #11's medical record was reviewed by the surveyor. The resident had an order for bi-weekly showers during day shift on Mondays and Thursdays. [...]
- 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 record review, resident interviews, and staff interviews, it was determined the facility failed to record and make prompt efforts to resolve grievances. This was evident for 1 out of 1 resident reviewed for personal funds.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to prevent a resident with cognitive impairment from leaving the facility unsupervised. This was evident for 1 (#143) of 3 residents reviewed for elopement.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on observations, record review, and interviews, it was determined that the facility staff failed to properly assess and monitor a resident's wander guard. This was evident for 1 (Resident #39) of 2 residents reviewed for elopement during the recertification survey.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on interviews and record review, it was determined that the facility failed to accommodate resident's food preferences and intolerances. This was evident for 1 (Resident #133) of 3 residents reviewed for food choices during the recertification survey.
- D
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 interviews, it was determined that the facility failed to maintain a safe and sanitary environment for a resident. This was evident for 1 (Resident #126) of 8 residents reviewed for safe, sanitary and functional environment during the recertification survey.
- D
Put firmly secured handrails on each side of hallways.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to have a process in place to ensure that handrails were securely attached to the wall. This was evident for 1 of 1 unit observed.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review, resident interview, and staff interview, it was determined that the facility failed to maintain proper bookkeeping techniques as evidenced by not giving the resident or retaining a copy of a receipt of a transaction. This was evident for 1 (Resident #44) out of 1 resident reviewed for personal funds.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on review of facility investigations, resident medical records, and interviews with facility staff, it was determined that the facility failed to ensure that residents remained free of abuse. This was true for 3 (Resident #104, Resident #21 and Resident #146) of 11 residents reviewed for abuse during the survey.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on record review, resident interviews, and staff interviews, it was determined the facility failed to protect the resident from misappropriation of property. This was evident for 1 out of 1 resident reviewed for personal funds.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and staff interviews, it was determined that the facility failed to: 1) report an injury of unknown origin to the state agency in a timely manner, and 2) ensure that incidents of alleged abuse were reported to the state agency in a timely manner. This was found to be evident in 3 (Incident 335642, Incident 335653and Complaint 335655) of 29 intakes investigated during the survey.
November 3, 2023Standard inspection, Complaint inspection · 30 citations
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on interview of facility staff, it was determined the facility failed to ensure that a full-time qualified dietetic service supervisor for oversight of food preparation and daily kitchen operation and a certified Registered Dietician for nutrition management. This has the potential to affect all residents.
- F
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on review of pertinent documentation, observation, and interviews with resident and staff, it was determined that the facility failed to ensure that residents were served meals according to a predetermined menu that incorporated resident preferences. This was evident for 5 (Resident # 112, Resident # 49, Resident # 25, Resident #2, Resident #59) out of 6 residents on 5 of the 6 units at the facility reviewed for food during a survey. This has the potential to affect all residents.
- 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 observations and interviews, it was determined that the facility failed to provide a home-like environment for residents. This was evident for 2 of 2 nursing units reviewed for the environment.
- E
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 medical record review and staff interview, it was determined the facility failed to notify residents or their representatives in writing of the reason for transfer and document that notification in the medical record. This was evident for 3 (#104, #142, #96) of 3 residents reviewed for hospitalization.
- E
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, medical record review and staff interview, it was determined the facility staff failed to ensure that Minimum Data Set (MDS) assessments were accurately documented. This was evident for 3 (Resident #79, #24, #7) of 47 residents reviewed during the survey.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interview with residents, review of resident medical records, and interview with facility staff, it was determined that the facility failed to ensure that residents were provided with summaries of their baseline care plans including a list of their medications. This was evident for 1 (Resident #112) of 3 residents reviewed for care planning.
- E
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 medical record review and interview, it was determined the facility failed to ensure comprehensive care plans were developed and implemented. This was found to be evident for 3 (Resident #59, #129, #172) out of 47 residents reviewed 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 observation, medical record review, and interviews, it was determined that the facility staff failed to evaluate and revise a resident's care plan to reflect accurate and current interventions. This was evident for 2 (#93, #7) of 47 residents reviewed during the survey.
- E
Provide activities to meet all resident's needs.
Inspectors wroteBased on medical record review, staff interview, and observation, it was determined that the facility staff failed to provide an activities program to meet the needs and preferences of residents. This was evident for 4 (#59, #84, #7, #422) of 5 residents reviewed for activities.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wrote3) On 10/16/23 at 9:38 AM, a medical record review for Resident # 84 noted that a monthly pharmacy review was completed on 4/23/23 with a recommendation to review an antidepressant for dose reduction. On 10/17/23 at 1:42 PM, a review of Resident #84's medical record showed that a consulting psychiatric Nurse Practitioner reviewed and signed the pharmacy recommendation on 6/6/23. The attending Physician saw resident # 84 on 4/30/23, 6/15/23, 6/16/23, 6/28/23, and 6/30/23. However, the review failed to show that the attending Physician for Resident # 84 had reviewed or responded to the pharmacy recommendation. On 10/17/23 at 2:19 PM, during an interview with the Director of Nursing (DON), she stated that the psychiatric Nurse Practitioner reviewed and signed all the pharmacy recommendations for psychotropic medication use. [...]
- 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 staff interview, it was determined the facility staff failed to reveal evidence that the resident or resident representative was informed of their right to formulate an advanced directive. This was evident for 2 (#3, #104) of 5 residents reviewed for advance directives.
- D
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 observation, record review, and interview, it was determined that the facility staff failed to notify a resident's attending provider of a change in condition. This was evident for 1 (# 34) of 4 residents observed during medication administration and 1(#2) of 3 residents reviewed for Nutrition.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of facility documents and staff interview, it was determined the facility failed to report an injury of unknow origin to the State Agency, the Office of Health Care Quality (OHCQ), immediately but not later than 2 hours of the allegation. This was evident for 1 (#24) of 13 residents reviewed for abuse.
- D
Respond appropriately to all alleged violations.
Inspectors wroteBased on review of facility documents and staff interview, it was determined the facility failed to thoroughly investigate when a vulnerable resident who was assessed, and care planned as an elopement risk, left the facility grounds unattended for an unknown amount of time. This was evident for 1 (#136) of 4 residents reviewed for accidents.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to provide the resident and the resident representative written notice of the bed hold policy. This was evident for 1 (Resident #96) out of 3 residents reviewed for hospitalizations.
- D
Assess the resident when there is a significant change in condition
Inspectors wroteBased on medical record review and staff interview, it was determined that the facility staff failed to complete, within 14 days, a Significant Change in Status Minimum Data Set (MDS) Assessment. This was evident for 1 (#84) of 3 residents reviewed for Activities of Daily Living.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on medical record review and interview, it was determined that the facility failed to ensure that a resident with a positive Level I PASARR (Preadmission Screening and Resident Review) screen was evaluated by the designated state-authority through the Level II PASARR process, and approved for admission to the nursing facility. This was found to be evident for one (Resident #88) out of two residents reviewed for PASARR.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review and interviews, it was determined that the facility failed to provide services consistent with professional standards of practice to prevent the development of pressure ulcers and promote healing of existing pressure ulcers/injuries by 1) failing to follow practitioners orders by failing to accurately transcribe and implement wound treatment orders as prescribed, and 2) failing to ensure that a low air mattress was implemented when recommended. This was evident for 1 (#129) of 4 residents reviewed for pressure ulcers.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review and staff interview, it was determined that the facility failed to prevent a vulnerable resident who was assessed, and care planned as an elopement risk, from leaving the facility grounds unattended for an unknown amount of time. This was evident for 1 (#136) of 4 residents reviewed for accidents.
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of resident medical record and interview with facility staff, it was determined that the facility failed to promptly address a resident's significant weight loss. This was evident for 1 (Resident #132) of 6 residents reviewed for nutrition.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on record reviews and interviews, it was determined that the facility failed to provide appropriate treatment and services to residents receiving tube feedings. This was evident for 2 (Resident #96, #80) of 2 residents reviewed for tube feeding.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on review of pertinent documentation and interviews, it was determined that the facility failed to provide documentation of peritoneal dialysis (PD) training to their nursing staff prior to the staff providing care to residents receiving PD treatment. This was evident for 2 (Resident #138 and # 130) out of 4 residents reviewed for dialysis during the survey.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on medical record review and staff interview it was determined the facility staff failed to: 1) ensure that orders for medication included an accurate route of administration, 2) ensure orders had adequate parameters to indicate when to administer as needed medicationsfor constipation, 3) ensure that residents were not given as-needed pain medication outside of a medication's parameters, and 4) ensure a resident received medication according to an attending physician's orders. This was evident for 2 (#79, #112) of 7 residents reviewed for unnecessary medications and 1 (#34) out of 4 residents observed for medication administration.
- 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 medical record review and staff interview, it was determined that the facility staff 1) failed to ensure that a psychotropic medication prescribed as needed was limited to 14 days and failed to ensure a resident who received psychotropic medication was monitored for behaviors and side effects. This was evident for 1 (#) of 1 residents reviewed for hospice, and 1 (#79) of 7 residents reviewed for unnecessary medications.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to prevent cross contamination of cookware and ensure that clean cookware was separated from dirty work areas and protected from splashes. This has the potential to affect all the residents.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on medical record review and staff interview, it was determined that the facility staff failed ensure that a resident's current wishes related to life-sustaining treatment were up to date by failing to void previous MOLST (Maryland Medical Order for Life Sustaining Treatment) forms when a new MOLST was created. This was evident for 1 (#104) of 5 residents reviewed for advanced directives.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on surveyor observation, interviews with staff and review of resident and facility records, it was determined that the facility failed to have an effective quality assessment and assurance program by failing to implement plans of action to correct quality deficiencies identified during the prior recertification survey. This was evident during the survey process and review of the Quality Assurance Program.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview, it was determined that staff failed to store resident care equipment and supplies in a sanitary manner as evidenced by failing to store linens so as to prevent the spread of infection facility and failed to keep the door separating the clean from the soiled area of the laundry room closed to prevent cross contamination. This was evident in 22 resident rooms observed during the initial resident sample observations and evident in 2 out of 2 observations of the laundry area. .
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observations, interviews, and record review, it was determined that the facility failed to have the call device accessible to the residents while in their room. This was evident for 2 (Resident #7, #25) of 2 residents reviewed for call system functionality and accessibility.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on pertinent document review and interviews, it was determined that the facility failed to ensure that all Geriatric Nursing Assistants (GNAs) working at the facility received 12 hours of continuing education annually. This was evident for 2 GNAs (GNA# 53, GNA # 54) out of 3 GNAs reviewed for staffing during a survey.
October 25, 2019Standard inspection · 17 citations
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on surveyor review of the clinical record and interview with facility staff, it was determined that the facility failed to ensure standards of nursing practice. This finding was evident for 4 of 30 residents selected for review during the survey (#44, #51, #81, #88).
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on surveyor review of the clinical record, surveyor observation and interview with facility staff, it was determined that the facility staff failed to follow physician orders in medication administration for resident #88. This finding was evident for 1 of 30 residents reviewed for the survey.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on surveyor review of the clinical record, surveyor observations, review of the facility's policy and procedure, and interviews with residents and facility staff, it was determined that the facility failed to ensure that a systematic approach was identified with the hazards and/or risks consistently addressed for residents who smoke. This finding was evident for 4 of 4 residents reviewed for Smoking. (#86, #23, #19, and #51)
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on surveyor review of the clinical records and facility staff interview, it was determined that the facility staff failed to adequately provide ongoing assessment of resident #5's condition and monitoring for complications before and after dialysis treatments. This finding was evident in 1 of 4 residents selected for review of dialysis care during the survey.
- E
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 interviews with facility staff, it was determined that the facility failed to document a rational to continue an as needed anti anxiety medication beyond 14 days and document the justification for continued use of psychotropic medications. This finding was evident for 3 of 8 residents selected for the Unnecessary Medication/Behavior/Mood review. (#58, #92, #104)
- E
Have policies on smoking.
Inspectors wroteBased on surveyor review of the clinical record, review of the facility's smoking policy and procedure, surveyor observations and interviews with residents and facility staff, it was determined that the facility failed to consistently implement their smoking policy for residents who smoke. This finding was evident for 4 of 4 residents reviewed for smoking. (#86, #23, #19, #51)
- 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 surveyor observations of dining service to residents and interview with facility staff, it was determined that the facility failed to ensure a homelike environment during meal services. This finding was evident for 1 of 2 main dining rooms within the facility.
- 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 review of administrative documents and interviews with residents and staff, it was determined that the facility failed to assist a resident with filing a grievance and promptly follow up on the grievance. This finding was evident for 1 of 6 residents reviewed for personal property concerns during the survey.(#123)
- 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 surveyor review of clinical records and interviews with staff and residents, it was determined that the facility failed to provide written notification of a resident's transfer or discharge to the resident or representative. This was evident for 2 of 5 residents selected for review of hospitalization during this survey. (#123 and #27)
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on clinical record review and interviews with facility staff and residents, it was determined that the facility failed to provide the facility bed hold policy for residents that were transferred to the hospital. This was evident for 2 of 5 residents selected for review of hospitalization during the survey. (#123 and #27)
- 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 surveyor review of the clinical records and facility staff interview, it was determined that the facility staff failed to develop a comprehensive resident centered care plan to address residents' medical conditions. This finding was evident for 2 of 30 residents selected for review during the survey. (#51 and #68).
- 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 surveyor review of the clinical records and interview of resident #115 and facility staff, it was determined that the facility staff failed to review a resident's plan of care quarterly. This finding was evident in 1 of 30 residents selected for review during the survey. (#115).
- 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 surveyor observations, record review, and interviews with facility staff, it was determined that the facility failed to assess resident #81 for risk of entrapment and obtain informed consent from resident #81's responsible party prior to the installation of 1/2 length bed rails. This finding was evident for 1 of 2 (#81) residents reviewed for restraint use during the survey.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on surveyor review of the clinical record, review of facility's consultant psychiatric services contract/addendum and interview with facility staff, it was determined that the facility failed to ensure that necessary behavioral health services were in place for resident #104. This finding was evident for 1 of 8 residents selected for the Unnecessary Medication/Behavior/Mood review.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on surveyor review of the clinical record, observation, and facility staff interview, it was determined that the facility staff failed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease and infection. This finding was evident in 1 of 2 residents selected for review of infections not UTI related care area during the survey. (#227).
- C
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on surveyor review of facility-wide assessment record and interview with facility staff, it was determined that the facility failed to review and update the assessment when there was a personnel change. This finding was evident for 1 of 1 facility assessment record reviewed during the annual survey. On 10-25-19 at 2:30 PM, surveyor review of the facility assessment record revealed names of personnel in the following positions: Administrator, Director of nursing and Medical Director. Upon further review, surveyor could not identify these personnel as part of current facility staff. On 10-25-19 at 2:36 PM, surveyor interview with the administrator revealed that the identified personnel were previous staff who no longer worked with the facility. There was no evidence that the administrator reviewed and updated the facility assessment when there was a change in personnel as required. [...]
- B
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on surveyor review of the clinical record and interviews with residents, the resident's responsible party and facility staff, it was determined that the facility failed to ensure accurate documentation in residents' clinical records. This finding was evident for 4 of 30 residents reviewed during the survey. (#100, #79, #23, #70)
Fire safety inspections
27 fire safety citations on file: 12 on August 5, 2025, 11 on November 3, 2023, 4 on October 25, 2019.
Every fire safety citation27 citations
- F
Have restrictions on the use of portable space heaters.
K 781 · August 5, 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 · August 5, 2025 · Corrected (the home has a date of correction)
- F
Ensure proper usage of power strips and extension cords.
K 920 · August 5, 2025 · Corrected (the home has a date of correction)
- E
Meet other general requirements.
K 100 · August 5, 2025 · Corrected (the home has a date of correction)
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · August 5, 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 · August 5, 2025 · Corrected (the home has a date of correction)
- E
Install a fire alarm system that can be heard throughout the facility.
K 341 · August 5, 2025 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · August 5, 2025 · Corrected (the home has a date of correction)
- D
Install proper backup exit lighting.
K 281 · August 5, 2025 · Corrected (the home has a date of correction)
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · August 5, 2025 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · August 5, 2025 · Corrected (the home has a date of correction)
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · August 5, 2025 · Corrected (the home has a date of correction)
- F
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · November 3, 2023 · Corrected (the home has a date of correction)
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · November 3, 2023 · Corrected (the home has a date of correction)
- F
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 · November 3, 2023 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · November 3, 2023 · Corrected (the home has a date of correction)
- F
Install corridor and hallway doors that block smoke.
K 363 · November 3, 2023 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · November 3, 2023 · Corrected (the home has a date of correction)
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · November 3, 2023 · Corrected (the home has a date of correction)
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K 914 · November 3, 2023 · Corrected (the home has a date of correction)
- F
Have proper medical gas storage and administration areas.
K 923 · November 3, 2023 · Corrected (the home has a date of correction)
- D
Meet other general requirements.
K 100 · November 3, 2023 · Corrected (the home has a date of correction)
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · November 3, 2023 · Corrected (the home has a date of correction)
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · October 25, 2019 · Corrected (the home has a date of correction)
- D
Install an approved automatic sprinkler system.
K 351 · October 25, 2019 · Corrected (the home has a date of correction)
- C
Meet other general requirements.
K 100 · October 25, 2019 · Corrected (the home has a date of correction)
- C
Inspect, test, and maintain automatic sprinkler systems.
K 353 · October 25, 2019 · Corrected (the home has a date of correction)