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 33 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
20D
5E
2F
Potential for minimal harm
0A
4B
1C
February 13, 2025Standard inspection, Complaint inspection · 12 citations
- G
Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review conducted during a Complaint investigation (Complaint #NY00356490) during a Standard survey completed on 2/13/2025, the facility did not ensure that each resident was free from significant medication errors for one (1) (Resident #202) of four (4) residents reviewed for insulin medications. Specifically, Resident #202 did not receive scheduled insulin doses or have their blood glucose (sugar) monitored per the provider orders. On 10/6/2024. the resident was found unresponsive, nonverbal with a blood glucose of 579 (normal 60 - 110) which resulted in hospitalization for diabetic ketoacidosis (a life-threatening complication of diabetes that occurs when the body does not have enough insulin). Additionally, a nurse inaccurately documented the resident was in the hospital on [DATE] at the time of their scheduled insulin dose and blood glucose monitoring. [...]
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interviews, and record review conducted during Complaint investigations (Complaint #s NY00359253 and NY00368473) during the Standard survey completed on 2/13/25, the facility did not ensure that food and drink was palatable, attractive and at a safe and appetizing temperature for three (Cityview, Skyview, and Harborview units) of four test trays. Specifically, food was served during meals at suboptimal temperatures and was not palatable. Residents #3, #55, #63, #65, #96, #104, and #203 were involved.
- 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 record review conducted during the Standard survey completed on 2/13/2025, the facility did not provide housekeeping and maintenance services necessary to maintain a safe, clean, comfortable, and homelike environment; and did not maintain comfortable temperature levels between 71 degrees Fahrenheit to 81 degrees Fahrenheit for two (Harbor View and City View units) of four units. Specifically, air temperatures were below 71 degrees Fahrenheit in resident rooms and shared resident areas on the Harbor View unit. In addition, shower chairs and the shower floor were observed with dried brown debris on them on the City View and Harbor View units.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review conducted during Complaint investigations (Complaint #s NY00362643 and NY00369017) during the Standard survey completed on 2/13/25, the facility did not ensure that residents who were unable to carry out activities of daily living, received the necessary services to maintain good grooming and personal hygiene for two (Residents #39 and #96) of 9 residents reviewed. Specifically, Resident #39 was not gotten out of bed on multiple days and had an unkempt beard. Resident #96 had a moderate amount of long chin hair and jagged dirty fingernails.
- 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 observations, interviews, and record reviews conducted during a Compliant investigation (#NY00359451) during the Standard survey completed on 2/12/25, the facility did not ensure that residents who are fed by enteral means (by way of the intestine to deliver part or all of a person's caloric requirements) received the appropriate treatment and services to prevent possible complications for two (2) (Resident #147 and Resident #39) of two (2) residents reviewed for feeding tubes. Specifically, the facility did not provide the tube feed formula as ordered by the physician. In addition, the nursing staff inaccurately documented the formula was administered as ordered.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observation, interview and record review conducted during the Standard survey, completed on 2/13/25, the facility did not ensure parenteral fluids were administered consistent with professional standards of practice and in accordance with the physician's orders, and the comprehensive person-centered care plan for one (Resident #16) of one resident reviewed for peripherally inserted central catheter (PICC- a long, thin tube that is inserted through a vein in an arm and passed through to the larger veins near the heart) use. Specifically, Resident #16 was readmitted to the facility with a peripherally inserted central catheter in their left upper arm (PICC). There was a lack of physician orders and assessments, for monitoring arm circumference, external length, dressing changes and flushes for the peripherally inserted central catheter. [...]
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, interview and record review conducted during the Standard survey completed on 2/13/25, the facility did not ensure that residents who require dialysis, received services consistent with professional standards of practice for one (Resident #16) of one resident reviewed. Specifically, Resident #16 did not have ongoing monitoring upon leaving the facility and returning from hemodialysis (treatment that filters waste and excess fluid from the blood when the kidneys were unable to). There were no assessments of their access site and there was no communication between the dialysis center and the facility. Additionally, the wrong type of hemodialysis access device was listed on the resident's provider orders. The finding is: [...]
- 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, interview, and record review conducted during a Standard survey completed on 2/13/25, the facility did not ensure that all drugs and biologicals were securely stored in accordance with State and Federal Laws for one of one facility reviewed for medication storage. Specifically, there were two full boxes that contained discontinued prescription medications for 22 residents located in an unsecured first floor conference room. This involved Resident #'s 10, 21, 23, 31, 32, 34, 35, 51, 60, 69, 70, 79, 81, 85, 130, 133, 135, 502, 503, 504, 505, and 506. Additionally, there was one full box of discontinued prescription medications for 32 residents located on the second floor in a Nurse Manager's office that was open and unlocked. [...]
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review conducted during a Standard survey completed 2/13/25, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and a comfortable environment, to help prevent the development and transmission of communicable diseases and infections for four (4) (Residents #39, #96, #119 and #139) of seven (7) residents observed for hands-on care. [...]
- C
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Inspectors wroteBased on observation, interview, and record review during the Standard survey completed on 2/13/25, the facility did not operate and provide services in compliance with all applicable Federal, State, and local laws, regulations, and codes. Specifically, the facility was not in compliance with Section 915 of the 2020 Fire Code of New York State, which requires carbon monoxide detection in buildings with fuel-burning appliances and on-going preventative maintenance of carbon monoxide detectors. This affected three (first, second, and third floors) of three resident use floors in the front building. The finding is: The policy and procedure titled Carbon Monoxide (CO) Detector Policy, created 4/25/24, documented the facility shall install carbon monoxide detectors in quantities and locations as necessary to comply with applicable life safety code and any other local ordinance. [...]
- B
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on record review and interview conducted during the Standard survey completed on 2/13/25, the facility did not complete and electronically submit encoded, accurate and complete Minimum Data Set (a resident assessment tool) assessments to the Centers for Medicare and Medicaid Services System within the required timeframe for 26 (Resident #4, #5 #6,#9, #14, #17, #18, #27, #28, #30, #47, #63, #66, #67, #78, #80, #82, #103, #109, #110, #118, #122, #125, #127, #132, #145) of 26 residents reviewed for resident assessments. Specifically, Resident #27, #80, #122, #127 and #145's Minimum Data Set assessments were not electronically submitted within 14 days after the assessment completion date. [...]
- B
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 and record review conducted during an Onsite Post Survey Revisit #1 completed on 4/24/25, the facility did not ensure that in accordance with accepted professional standards and practices, they maintained medical records on each resident that were complete; accurately documented; readily accessible; and systematically organized for three (3) (Resident #2, #16 and #127) of eleven residents reviewed. Specifically, treatment orders for PICC line (peripherally inserted central catheter) dressing changes and measurements of their arm circumference were not documented as completed and the orders did not include external migration (displacement) measurements (#2). Additionally, Resident #16 and Resident #127 did not have physician orders to receive dialysis treatments and their dialysis binders (communication book) did not include updated orders.
February 7, 2025Complaint inspection · 1 citation
- F
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, and record review conducted during an Abbreviated (#NY00351834) survey completed on 2/7/25, the facility did not provide pharmaceutical services to meet the needs of each resident and the facility did not ensure that drug records were in order and that an account of all controlled drugs are maintained and periodically reconciled for four (River View, Harbor View, City View, and Sky View) of four units. Specifically, on 8/19/24, 93 narcotic (medication used to treat moderate to severe pain) medications were unaccounted for on the River View unit. [...]
November 13, 2024Complaint inspection · 1 citation
- 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 interview and record review conducted during an Abbreviated survey (Complaint #NY00359366), the facility did not ensure that all residents had the right to formulate advanced directives that would be honored for one (Resident #1) of six residents reviewed. Specifically, Cardiopulmonary Resuscitation (CPR) was implemented for Resident #1 who had a MOLST (Medical Orders for Life Sustaining Treatment) identifying the resident's wishes as Do Not Resuscitate (DNR). The finding is: The policy and procedure titled Advance Directive and State Specific Medical Orders for Life Sustaining Treatment-New York dated [DATE] documented residents have the right to formulate an advance directive and to request, refuse and discontinue treatments. [...]
October 4, 2023Standard inspection, Complaint inspection · 9 citations
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, interview, and record review conducted during Complaint investigations (#NY00296344, #NY00320402 and #NY00297199) during the Standard survey completed on 10/4/23, the facility did not ensure sufficient nursing staff to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for four (River View, Sky View, Harbor View, and City View) of four resident care units. Specifically, the facility did not have adequate nursing staff based on the facility's established minimum numbers of staff for each shift. Additionally, there was a lack of sufficient nursing staff to get residents out of bed, pass medications timely and according to physician orders, and not meeting resident care needs (showers). [...]
- 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 and record review conducted during the Standard survey completed on 10/4/23, the facility did not provide pharmaceutical services to meet the needs of each resident and the facility did not ensure that drug records were in order and that an account of all controlled drugs is maintained and periodically reconciled for four (River View, Harbor View, City View and Sky View) of four units. Specifically, on the Riverview Unit Licensed Practical Nurse (LPN) #4 was observed to have pre-poured resident medications and two narcotic reconciliation books with the keys to a medication cart and narcotic cupboard were left unattended in the medication room. Additionally, on the Sky View Unit LPN #7 was observed to have completed a narcotic reconciliation by themselves without the presence of the nurse going off duty. [...]
- 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 interview and record review conducted during a Complaint investigation (Complaint #NY00324268) during a Standard survey completed on 10/4/23 the facility did not ensure that it promoted and facilitated resident self-determination through the support of resident choice for two (Residents #93 and #398) of four residents reviewed for choices. Specifically, preferred number of showers were not provided in accordance with resident wishes per week.
- 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 interview and record review during a Standard survey completed on 10/4/23, the facility did not ensure that they immediately informed the resident's representative when there was a significant change in the resident's health, mental, or psychosocial status for two (Resident #s 27 and #54) of two residents reviewed. Specifically, there was no evidence Resident #54's Health Care Proxy/Responsible Party (HCP/RP) was informed that the resident was transferred to the hospital on 7/20/23 and staff did not contact Resident #27's alternate representative when they could not reach their primary representative to notify of an acute hip fracture.
- 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 record review conducted during the Standard survey completed on 10/4/23, the facility did not provide a safe, clean, comfortable, and homelike environment for one unit (Riverview) of four resident units. Specifically, there were strong odors of cigarette smoke, ashes on the floor, and cigarette butts in the toilet and on the floor of the Riverview shower room. The policy and procedure (P&P) Smoking Program, revised 6/2019, documented the facility shall establish and maintain safe resident smoking practices. While the facility does promote a smoke free environment, those residents who wish to smoke will be provided with appropriate accommodations to safely do so. The undated P&P Homelike Environment documented residents are provided with a safe, clean, comfortable, and homelike environment.
- D
Plan the resident's discharge to meet the resident's goals and needs.
Inspectors wroteBased on record review and interviews conducted during a complaint investigation (Complaint #NY00317844) during the Standard survey completed on 10/4/23, the facility did not ensure the development and implementation of an effective discharge process that focused on resident's discharge goals, and effectively transitioned them to post-discharge care, including regular re-evaluation to identify changes that require modification of the discharge plan for two (Resident #3 and #400) of four residents reviewed for discharge planning. Specifically, there was no evidence that referrals were made, facilities contacted, family contact, and there was no follow up with the resident for the status of their discharge plan (Resident #3), also there were no referrals for post discharge care made prior to their discharge from the facility (Resident #400).
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on 10/4/23, the facility did not ensure that a resident who was unable to carry out activities of daily living (ADLs) received the necessary services to maintain good nutrition, grooming, and personal hygiene for two (Resident #54 and 104) of eight residents reviewed. Specifically, a resident with a significant weight loss, that required extensive assistance with eating, was not provided extensive assistance (Resident #54); and a resident that was totally dependent on staff for care was not provided showers, nor was their hair washed (Resident #104).
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review conducted during the Standard survey completed on 10/4/23, the facility did not ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #126) of eight reviewed for quality of care related to skin conditions (non-pressure) and pressure ulcers. Specifically, the facility did not provide pressure ulcer care and venous ulcer care per the physician's orders, dressings were not changed daily and/or dressings were not in place. The finding is: The policy and procedure titled Skin and Pressure Injury Prevention revision dated 3/13/23 documented the facility will assess residents for risk in the development of pressure injuries and implement preventative measures in accordance with current standards of practice. [...]
- 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 record review conducted during the Standard survey completed on 10/4/23, the facility did not ensure that each resident receives adequate supervision to prevent accidents for one (Resident #80) of one resident reviewed. Specifically, a resident with a diagnosis of dysphagia (difficulty swallowing) and a physician ordered pureed diet (consistency of smooth, thick paste) with soft sandwiches, received a deli meat sandwich. The finding is: The policy titled Modified Food Consistency dated 4/2020 documented the food and nutrition services department will be responsible for preparing and serving the diet texture as ordered, care will be taken to serve the foods as ordered on the consistency altered diet. [...]
September 22, 2021Standard inspection · 10 citations
- E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on interview and record review conducted during the Standard survey completed on 9/22/21, the facility did not ensure that the physician signed and dated all orders, with the exception of influenza and pneumococcal vaccines, for 23 (Resident #7, 8, 9, 19, 22, 23, 27, 36, 39, 48, 52, 56, 62, 72, 83, 89, 95, 100, 101, 112, 146, 148, and 452) of 29 residents reviewed for physician orders. Specifically, the facility did not ensure that the physician or non-physician provider evaluated the resident's current medication regimen and renewed orders in the electronic medical record (EMR) at least every 60 days.
- 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 observation, interview, and record review conducted during a Standard survey completed on 9/22/21, the facility did not ensure that residents who receive a psychotropic medication have gradual dose reductions (GDR), unless clinically contraindicated, in an effort to discontinue these drugs for one (Resident #95) of five residents reviewed for antipsychotic medication use. Specifically, there was a lack of an attempt of a GDR for a resident receiving Seroquel (antipsychotic medication) since September 2019. The finding is: The facility P&P titled Psychotropic Medication Gradual Dose Reduction dated 8/2019 documented that all medications can be tapered and tapering of antipsychotics are referred as gradual dose reduction. Further review of the P&P documented that residents who use antipsychotics shall receive gradual dose reduction unless contraindicated. [...]
- 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 record review conducted during the Standard survey completed on 9/22/21, the facility did not ensure that the Quality Assessment and Assurance (QAA) Committee developed and implemented appropriate plans of action to correct identified quality deficiencies and regularly reviewed, analyzed and acted on available data to make improvements. Specifically, the QAA Committee identified an issue involving the lack of timely Provider signatures of Physician Orders since November 2020. The facility identified corrective actions which were not effective, and the plan was not revised. The finding is: Refer to F 711 - Physician Services - Scope and Severity E. [...]
- D
Respond appropriately to all alleged violations.
Inspectors wroteBased on interviews and record review conducted during a Complaint investigation (Complaint NY#00276496) during the Standard survey completed on 9/22/21 the facility did not ensure that all allegations of abuse, neglect, exploitation, or mistreatment were thoroughly investigated for one (Resident #1) of three residents reviewed for abuse. Specifically, there was a lack of an investigation completed by the facility to rule out abuse, neglect or mistreatment for a reported allegation that Resident #1 was pushed out of bed (OOB) by a staff member. The finding is: The facility policy and procedure (P&P) dated 2/2016 titled Abuse documented allegations/reports of suspected abuse, neglect shall be promptly and thoroughly investigated by the facility management. The Administrator and the Director of Nursing (DON) are responsible for investigating and reporting. [...]
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, record review, and interview conducted during the Standard survey completed 9/22/21, the facility did not ensure that a resident with limited range of motion receives appropriate treatment and equipment to prevent further decrease in range of motion. Specifically, one (Resident #39) of two residents observed for range of motion (ROM-normal range of motion of a joint) services had issues with not having a palm guard to the left hand as recommended by OT (Occupational Therapy) and per Physician's order. The facility policy and procedure (P&P) titled Appliances - Splints, Braces, Slings revised 4/2019 documented therapy would evaluate residents for a device and order, fabricate, adjust splints/devices. [...]
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on 9/22//21, the facility did not ensure that a resident who needs respiratory care was provided such care, consistent with professional standards of practice for three (Resident #56, #100, and #452) of four residents reviewed for respiratory care. Specifically, Residents (#56, #100 and #452) on continuous O2 (oxygen) and/or nebulizer treatments did not have routine tubing changes and/or external concentrator filters were soiled and covered with thick dusty grey debris. Additionally, there was lack of physician orders for the use of continuous O2 (#452). [...]
- D
Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, interview, and record review during the Standard survey completed on 9/22/21, the facility did not dispose of garbage and refuse properly. Specifically, waste was not properly contained outside of the facility in closed dumpsters, and torn bags of garbage and loose debris were observed on the ground around the dumpsters, which created potential feeding and harborage areas for pests. The finding is: According to the facility policy and procedure called, Food-Related Garbage and Refuse Disposal, revised October 2017, garbage and refuse containing food wastes will be stored in a manner that is inaccessible to pests and outside dumpsters provided by garbage pickup services will be kept closed and free of surrounding litter. [...]
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation interview and record review conducted during the Standard survey completed on 9/22/21, the facility did not establish and maintain an Infection Control Program to ensure the health and safety of residents to help prevent the transmission of COVID-19. Specifically, certified nurse aide (CNA) Swab Technician (Tech) #2 did not utilized appropriate PPE (personal protective equipment) while collecting COVID-19 specimens for one of one employee observed (Physical Therapist #1). The finding is: The policy and procedure (P&P) titled Covid 19 Testing of Staff dated 7/5/21 documented all personal will be trained on infection control policies and practices upon hire and periodically thereafter, including where and how to find pertinent equipment related to infection control. [...]
- B
Honor the resident's right to manage his or her financial affairs.
Inspectors wroteBased on observation, interview, and record review conducted during a Standard Survey completed on 9/22/21, the facility did not ensure action as a fiduciary (trustee) of the resident's funds and hold, safeguard, manage, and account for the residents' personal funds deposited with the facility for 3 (Resident A, B, C) of 3 resident reviewed for personal funds. Specifically, the facility did not ensure residents had access to personal funds after 4:00 PM Monday through Friday and on weekends. A review of the facility policy & procedure titled Resident Funds Account dated 8/2020 documented that residents who wanted access to their personal funds account after banking hours could do so during Business Office hours. [...]
- B
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 interviews, observations, and record review conducted during a Standard survey completed on 9/22/21, it was determined that the facility did not ensure that residents had a safe, clean, comfortable, and homelike environment. Specifically, one (Harborview) of four resident units had issues with resident rooms with missing window screens or window screens in disrepair; soiled floors with debris and multiple stained areas; and multiple dead insects and cobwebs in window wells.
Fire safety inspections
30 fire safety citations on file: 10 on February 13, 2025, 15 on October 4, 2023, 5 on September 22, 2021.
Every fire safety citation30 citations
- E
Use approved construction type or materials.
K 161 · February 13, 2025 · Corrected (the home has a date of correction)
- E
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · February 13, 2025 · Corrected (the home has a date of correction)
- E
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · February 13, 2025 · Corrected (the home has a date of correction)
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · February 13, 2025 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · February 13, 2025 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · February 13, 2025 · Corrected (the home has a date of correction)
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · February 13, 2025 · Corrected (the home has a date of correction)
- E
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · February 13, 2025 · Corrected (the home has a date of correction)
- E
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · February 13, 2025 · Corrected (the home has a date of correction)
- D
Have restrictions on the use of portable space heaters.
K 781 · February 13, 2025 · Corrected (the home has a date of correction)
- E
Use approved construction type or materials.
K 161 · October 4, 2023 · fire safety evaluation s
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · October 4, 2023 · Corrected (the home has a date of correction)
- E
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · October 4, 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 4, 2023 · Corrected (the home has a date of correction)
- E
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · October 4, 2023 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · October 4, 2023 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · October 4, 2023 · Corrected (the home has a date of correction)
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K 374 · October 4, 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 · October 4, 2023 · Corrected (the home has a date of correction)
- E
Meet requirements for the installation and maintenance of electrical systems.
K 911 · October 4, 2023 · Corrected (the home has a date of correction)
- E
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · October 4, 2023 · Corrected (the home has a date of correction)
- E
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · October 4, 2023 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · October 4, 2023 · Corrected (the home has a date of correction)
- C
Address patient/client population and determine types of services needed.
E 7 · October 4, 2023 · Corrected (the home has a date of correction)
- C
Conduct testing and exercise requirements.
E 39 · October 4, 2023 · Corrected (the home has a date of correction)
- E
Use approved construction type or materials.
K 161 · September 22, 2021 · Waiver
- 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 · September 22, 2021 · Corrected (the home has a date of correction)
- E
Have simulated fire drills held at unexpected times.
K 712 · September 22, 2021 · Corrected (the home has a date of correction)
- E
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · September 22, 2021 · Corrected (the home has a date of correction)
- E
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · September 22, 2021 · Corrected (the home has a date of correction)