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 51 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
34D
12E
0F
Potential for minimal harm
0A
2B
0C
April 9, 2026Standard inspection, Complaint inspection · 10 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 review of facility policy, clinical record reviews and interviews with staff, it was determined that the facility failed to revise resident care plans timely for four of thirty-five residents reviewed. (Residents R221, R222, R306, and R312)Findings Include: Review of facility policy titled, Care Planning-Interdisciplinary Team undated states, Policy Statement-The interdisciplinary team is responsible for the development of resident care plans. Policy Interpretation and Implementation 1. Resident care plans are developed according to the timeframes and criteria established by 483.21 Review of resident clinical record for Resident R221 revealed the resident was admitted to the facility on [DATE]. Resident R221 had a care conference held on October 31, 2025. The next care conference was not held until April 7, 2026. The time in between care plans was over five months. [...]
- E
Post nurse staffing information every day.
Inspectors wroteBased on observations and staff interview it was determined that the facility did not to prominently display and maintain facility daily staffing hours as required for three days (April 6, April 7, April 8). Findings Include: Observation of the front lobby reception desk revealed a nurse staff posting from Monday March 23, 2025. A tour was taken with the Director of Social Services Employee E22 on April 8, 2026 at 10:30 a.m. revealed the lobby reception desk nurse staff posting was still from Monday March 23, 2025. A tour of the A1 unit revealed nurse staffing posting from April 7, 2026 no PPD or census was listed. A tour of C3 unit revealed nurse staffing posting from April 7, 2026 with no PPD or census. The Director of Nursing confirmed on April 8, 2026 at 11:15 a.m. [...]
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations, and resident interviews, it was determined that the facility failed to provide food and drink that was palatable and served at the proper temperature for twelve of thirty five residents reviewed (Residents R5, R12, R22, R151, R119, R144, R188, R223, R257, R113, R128 and R322).
- E
Keep all essential equipment working safely.
Inspectors wroteBased on observations and interviews with residents and staff, it was determined that the facility failed to ensure that essential equipment related to medication refrigerator on unit D3 and ice and water dispenser on unit C1 were in a safe and working condition for use by residents and nursing staff on two of twelve nursing units.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, resident interviews, and review of facility policy, it was determined that the facility did not maintain a dignified environment for three of thirty-five residents observed (Resident R151, R194, R312) and on three of twelve dining rooms (C1, D1, D2). Findings Include: Review of facility policy titled, Homelike Environment undated states, Policy Statement-Residents are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible. 2. The facility staff and management maximizes, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting. These characteristics include: .i. comfortable sound levels . 3. [...]
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on a review of the clinical record, facility documentation, observations, and interviews with staff and residents, it was determined that the facility failed to provide Activities of Daily Living (ADL) assistance for one of 35 resident records reviewed (Resident R271).
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interviews with resident and facility staff, review of hospital documentation resident clinical documentation and facility policies, it was determined that the facility failed to ensure residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices, to ensure facilities identify and provide needed care and services to maintain appropriate care for one resident's indwelling foley catheter and failed to assess and reassess the foley catheter to determine appropriate indications of use for one of 35 residents reviewed (Resident R271)
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review and staff interview, it was determined that the facility failed to monitor resident weights and implement timely interventions for significant weight loss. Resident R81.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on review of facility policy, resident clinical records, facility documentation, and staff interviews, it was determined that the facility failed to ensure proper documentation was maintained to support continuity of hospice care for one resident (Resident R81) out of three residents reviewed. Findings Include: Review of the facility's policy titled Hospice Program dated July 2017 revealed that the facility maintains an agreement with a Medicare-certified hospice provider to support end-of-life care for eligible residents. The policy requires clear, timely communication and comprehensive documentation between the facility and hospice services. [...]
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, and staff interview, it was determined that the facility failed to follow acceptable infection control practices related to care and maintenance of oxygen concentrators for three of 35 residents reviewed (Resident R199, R13 and R119).
January 29, 2026Complaint inspection · 1 citation
- 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 a review of facility policies, clinical records, and interviews with staff, it was determined that the facility failed to promptly inform the resident's representative of a significant change in the resident's condition and hospital transfer. This failure affected one of three residents reviewed (Resident R1). Review of the facility policy titled Change in a Resident's Condition or Status, dated February 2024, indicated that the facility is required to notify the resident and/or the resident's representative of any significant change in condition, including transfer to the hospital. Review of the resident's clinical record revealed that Resident R1 legally designated her family member as Power of Attorney, dated August 1, 2023. Review of the medical provider notes for Resident R1 dated January 9, 2025, at 9:31 a.m., documented: [...]
December 22, 2025Complaint inspection · 2 citations
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of facility provided documentation, review of policy and interview with staff, it was determined that facility did not ensure to report the results of all investigations within five working days to the administrator or his/her designated representative and to other officials in accordance with State law for two of seven residents reviewed (Resident R1, R9). Review of facility's policy 'Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating,' revised September 2024, indicates that all reports of resident abuse, neglect, exploitation, or theft/misappropriation of resident property are reported to local, state and federal agencies (as required by current regulations) and thoroughly investigated by facility management. Findings of all investigations are documented and reported. [...]
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations, resident and staff interviews, it was determined that the facility failed to provide food and drink that were served at palatable temperatures for one of 5 residents reviewed. (Resident R10)
November 24, 2025Complaint inspection · 2 citations
- D
Respond appropriately to all alleged violations.
Inspectors wroteBased on staff interviews and the review of facility documentation, it was determined that the facility failed to ensure that a complete and thorough investigation was conducted for bruises of unknown origin for 1 out of 1 residents reviewed (Resident R4).
- B
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Inspectors wroteBased on staff interviews, review of facility policy and review of facility documentation, it was determined that the facility failed to ensure that medical records requested by/and or on behalf of residents were provided in a timely manner for 3 out of 3 records reviewed. (Resident R1, Resident R2, and R3)Review of the facility policy, Release of Information, with a revision date of November 2009 indicated that the resident may initiate a request to release information to anyone he/she wishes and that such request will be honored only upon the receipt of written, signed, and dated request from the resident or representative. The policy also stated that a resident may have access to his or her records within 24 hours (excluding weekends or holidays) of the resident's written request. [...]
September 3, 2025Complaint inspection · 1 citation
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on clinical record review, and staff interviews it was determined that the facility failed to ensure each resident is provided with the necessary behavioral health care in a timely manner to attain or maintain the highest practicable mental and psychosocial well-being for one of five resident records reviewed (Resident R1). Findings Include: Review of care plan for Resident R1 dated August 4, 2025, revealed that the resident was at risk to be verbally aggressive (yelling/cursing when redirected) related to dementia. Interventions included, Psychiatric/Psychogeriatric consult as indicated. Review of clinical record for Resident R1 dated July 1, 2025, revealed that the resident noted to be agitated, resident was going into other residents' rooms, several attempts were made to redirect the resident, and it was unsuccessful. [...]
July 15, 2025Complaint inspection · 1 citation
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on a review of clinical records, facility policies and documentation and staff interview, it was determined facility did not ensure adequate supervision and assistance to prevent accidents during a mechanical lift transfer for one of two residents reviewed (Resident R2). Review of facility policy title Lifting Machine, Using a Mechanical, revised July 2017, revealed that at least two (2) nursing staff are needed to safely move a resident with a mechanical lift, when possible. A review of Resident R2's clinical record revealed that he was admitted to the facility on [DATE], with diagnosis of chronic obstructive pulmonary disease (an ongoing lung condition caused by damage to the lungs). A review of Resident R2's allegation of abuse incident investigation report revealed that on June 18, 2025, Employee E13, nurse aide, was providing care to Resident R2 using a sit to stand lift. [...]
June 20, 2025Standard inspection · 6 citations
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on review of facility documentation, observations, and resident and staff interviews, it was determined that the facility failed to provide food and drink that was palatable and served at the proper temperature.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observations; review of clinical records, policies, and procedures; and staff interviews; it was determined that the facility failed to ensure that a resident was free from physical restraints for one out of 35 residents reviewed (Resident R156).
- 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, review of facility policies, clinical record reviews and interviews with staff, it was determined that the facility failed to ensure appropriate enteral feeding practices related to labeling for one of two residents reviewed for tube feeding (Resident R299).
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observed, clinical record review and staff interview, it was determined that the facility failed to provide appropriate respiratory care and services for one of 35 residents reviewed (R205).
- D
Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on review of clinical records, staff and resident interviews, it was determined that the facility failed to provide culturally competent, trauma care in accordance with professional standards of practice, accounting for the resident's past experiences and preferences in order to eliminate and/or mitigate triggers that may cause re-traumatization of the resident for one of three residents sampled for behavior. (Resident R130)
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, review of facility policies, review of facility documentation, clinical record review and interviews with staff, it was determined that the facility failed to maintain an effective infection control program related with Enhanced Barrier Precautions for one of 14 residents reviewed (R142).
February 28, 2025Complaint inspection · 3 citations
- 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 and staff interview, it was determined that the facility failed to make certain that the necessary resident information was communicated to the physician before the resident was discharged against medical advice (AMA) for one of one resident reviewed. (Residents R1).
- D
Provide or obtain dental services for each resident.
Inspectors wroteBased on a review of clinical records and interview with resident and staff, it was determined that the facility did not ensure that routine dental services were provided to residents in a timely manner for one of five clinical records reviewed (Resident R1) .
- D
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Inspectors wroteBased on interview with and review of clinical records, it was determined that the facility failed to ensure timely provision of professional services furnished by outside providers, for one of 5 residents reviewed (Residents R1).
February 7, 2025Standard inspection, Complaint inspection · 11 citations
- G
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on review of clinical records, interviews with staff, and facility policy, it was determined the facility failed to ensure residents who require dialysis treatment receive such services, consistent with professional standards of practice, including ongoing assessment of the resident's condition and monitoring for complications before, during, and after dialysis treatments for one of three dialysis resident's reviewed (Resident R104). The facility's failure to properly monitor Resident R104's right arm fistula (used for dialysis access) resulted in actual harm to Resident R104 who required an emergent transfer to the hospital from the dialysis center when the resident's fistula was assessed as swollen, infected with purulent (thick, yellowish substance that occurs with infection) drainage and the development of a non-occlusive right brachial deep vein thrombosis. (Resident R104).
- E
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 observations, interview with residents and staff, it was determined that the facility did not provide sufficient nursing staff at all times to provide nursing and related services to meet the resident's needs for 12 out of 35 residents reviewed (Resident R180, R46, R155, R247, R75, R78, R137, R32, R134, R11, R161 and R7)
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations, resident and staff interviews, it was determined that the facility failed to provide food and drink that was palatable and served at palatable temperatures for 15 of 35 residents reviewed (Residents R114, R55, R406, R10, R268, R204, R31, R18, R285, R407, R22, R221, R182, R28 and R118).
- 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 clinical record review and interview with staff, it was determined that the facility did not ensure that care plans were updated in a timely manner for one of 35 records reviewed related to resident's behaviors of dislodging a peg tube (Resident R237).
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview with residents, interview with staff, and review of clinical records, it was determined that facility failed to obtained a consultation with an especialist and administered insulin medications as ordered by the physican for two of 35 residents reviewed. (Resident R40 and Resident R94)
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, and staff interviews, it was determined the facility failed to provide respiratory care/oxygen services consistent with professional standards of practice for three of 35 residents reviewed (Residents R406, R18, and R114).
- D
Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on review of facility provided documentation, it was determined that facility did not ensure nurse aides had completed annual performance evaluation for three out of nine nurse aides reviewed (Employee E11, E12, E13)
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to develop and implement an individualized person-centered care plan to address a resident's dementia care needs for one of 35 residents reviewed (Resident R46). Findings Include: Reviewed facility dementia policy title Dementia Clinical Protocol dated in November 2018 states that treatment/management for the individual with confirmed dementia, the IDT team will identify a resident-centered care plan to maximized remain function and quality of life. Review of the admission sheet of Resident R46, revealed that Resident R46 was admitted to the facility on [DATE], with the diagnosis of Dementia (Dementia is not a specific disease but is rather a general term for the impaired ability to remember, think, or make decisions that interferes with doing everyday activities). [...]
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased upon review of resident records and interviews with staff it was determined that the facility failed to maintain ongoing communication between the facility and a dialysis provider that was completed and/or available for review for three of three residents receiving dialysis (Resident R104, R139 and R230).
- 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 review of facility provided documentation and interview with staff, it was determined that facility did not ensure required in-services training was provided for one nurse aide out of nine nurse aides reviewed (Employee E14)
- B
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 review of facility documentation, review of clinical records, and interviews with staff, it was determined that the facility failed to notify the Office of the State Long-Term Care Ombudsman of facility-initiated emergency transfers to the hospital and that a resident's representative was made aware of a facility-initiated transfer, for two of eight residents reviewed. (Residents R67 and R237) Findings Include: Review of nursing notes for Resident R67 dated November 10, 2024, at 10:18 a.m. revealed that the resident had a unwitnessed fall and was transferred to a local hospital for evaluation. Further review revealed a note, dated October 8, 2024, at 11:16 p.m., which indicated that Resident R67 was admitted to the local hospital for feeling nauseous and dizzy and was observation with syncope. [...]
January 8, 2025Complaint inspection · 2 citations
- J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on the review of clinical records, facility documentation, facility policies, and interview with residents and staff, it was determined the facility failed to ensure a resident's environment was free of accident hazards, and failed to ensure hazardous materials were not accessible to one of nine residents (Resident R1). Staff failed to provide supervision for Resident R1 with documented history of suicidal ideation and who voiced suicidal thoughts. This failure resulted in Resident R1 obtaining a disposable razor and cutting her/his wrist. This failure placed Resident R1 at risk for serious injury and resulted in an Immediate Jeopardy situation for Resident R1. This deficiency is cited as past non-compliance. Findings Include: [...]
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on review of facility records, job descriptions, and staff interviews, it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) did not effectively manage the facility to ensure that the resident's environment was free of accident hazards, and failed to ensure hazardous materials were not accessible to a resident. This failure resulted in Resident R1 able to obtaining a disposable razor and cutting her/his wrist. The facility's failure placed Resident R1 who had a history of suicidal ideation at risk for serious injury and resulted in Immediate Jeopardy situation.
August 20, 2024Complaint inspection · 6 citations
- J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interviews, review of clinical records and facility documentation, it was determined that the facility failed to ensure that adequate supervision was provided to a resident who verbally expressed to nursing staff that she wanted to kill herself, which resulted in an Immediate jeopardy to Resident R1 who ingested acetaminophen, was transferred out to the hospital, had elevated blood levels of acetaminophen, and received treatment for intentional acetaminophen overdose (Resident R1).
- 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 staff interviews, the review of the clinical record and facility documents, it was determined that the facility failed to ensure that the physician was notified regarding a resident's verbal threats of wanting to kill herself, and failed to ensure that the physician was notified when the resident reported to nursing staff that she ingested 25-30 milligrams of Tylenol for 1 out of 3 residents reviewed (Resident R1).
- 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 interviews, review of clinical records, it was determined that the facility failed to ensure comprehensive person-centered plan of care for a resident with a history of passive suicidal ideation (thoughts of wanting to die or thinking one would be better off dead) for 1 out of 3 residents reviewed (Resident R1). Findngs include: Review of the facility policy, Care Plans, Comprehensive Person-Centered with a revision date of March 2022 indicated that assessments of residents are ongoing and care plans are revised as information about the resident and the resident's conditions change. Review of the August 2024 physician orders for Resident R1 included the diagnoses of hypertension (high blood pressure); chronic kidney disease (a gradual loss of kidney function that can lead to kidney failure); cerebral infarction (a stroke); muscle weakness; [...]
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interviews, review of facility policy, and review of the clinical record, it was determined that the facility failed to ensure that resident's medications were administered in a timely manner for 1 out of 3 residents reviewed (Resident R2).
- E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on a review of clinical records, facility documentation and interviews with staff, it was determined that the Nursing Home Administrator and the Director of Nursing failed to effectively manage the facility regarding the suicide attempt of one of three residents reviewed (Resident R1).
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of the clinical record and facility documentation, it was determined that the facility failed to ensure complete and accurate documentation related to a resident's mental health status for 1 out of 3 residents reviewed (Resident R1).
March 21, 2024Complaint inspection · 3 citations
- D
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, review of clinical records, and interviews with residents and staff, it was determined that the facility failed to maintain sufficient nursing staff levels to provide nursing care and services for three of 35 residents reviewed (Residents R135, R123 and R138 ).
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on observation and interviews with staff and residents, it was determined that the facility did not employ sufficient staff to carry out the functions of food and nutrition services and that meals were served timely in one of three dining rooms (Second floor).
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations of the Food and Nutrition Services, reviews of policies and procedures and food committee meeting minutes, and interviews with residents, it was determined that the facility failed to ensure that each resident received foods and beverages that were palatable and at safe and appetizing temperatures for five of 35 residents reviewed (Residents R123, R11, R134, R135 and R69) and in two of six nursing units.
November 9, 2023Complaint inspection · 1 citation
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, review of facility policy and interviews with residents, it was determined the facility failed to implement a resident's care plan related showers to one of ten residents reviewed. (Resident R1) Findings Include: Review of facility policy titled Activities of Daily Living (ADLs), Supporting states Residents will be provided with care, treatment and services as appropriate to maintain or improve their ability to carry out activities of daily living (ADLs). [...]
September 12, 2023Complaint inspection · 2 citations
- 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 review of clinical records and facility policy determined the facility failed to develop a comprehensive care plan related to one residents required assistants with activities of daily living for one of four resident records reviewed (Resident R1).
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on review of facility policies, clinical record review and interviews with staff, it was determined that the facility failed to maintain intravenous (IV) devices in accordance with professional standards of practice for one of four resident records reviewed (Resident R2)
Fire safety inspections
43 fire safety citations on file: 22 on April 9, 2026, 10 on June 20, 2025, 11 on February 7, 2025.
Every fire safety citation43 citations
- F
Conduct risk assessment and an All-Hazards approach.
E 6 · April 9, 2026 · Corrected (the home has a date of correction)
- F
Develop Emergency Preparedness policies and procedures.
E 13 · April 9, 2026 · Corrected (the home has a date of correction)
- F
Establish emergency prep training and testing.
E 36 · April 9, 2026 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · April 9, 2026 · Corrected (the home has a date of correction)
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
K 346 · April 9, 2026 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 9, 2026 · Corrected (the home has a date of correction)
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · April 9, 2026 · Corrected (the home has a date of correction)
- E
Have properly located and lighted "Exit" signs.
K 293 · April 9, 2026 · 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 · April 9, 2026 · Corrected (the home has a date of correction)
- E
Install a fire alarm system that can be heard throughout the facility.
K 341 · April 9, 2026 · Corrected (the home has a date of correction)
- E
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
K 342 · April 9, 2026 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · April 9, 2026 · Corrected (the home has a date of correction)
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K 374 · April 9, 2026 · Corrected (the home has a date of correction)
- E
Install properly constructed and protected linen or trash chutes.
K 541 · April 9, 2026 · Corrected (the home has a date of correction)
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · April 9, 2026 · Corrected (the home has a date of correction)
- E
Meet requirements for the installation and maintenance of electrical systems.
K 911 · April 9, 2026 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · April 9, 2026 · Corrected (the home has a date of correction)
- C
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · April 9, 2026 · Corrected (the home has a date of correction)
- C
Establish procedures for tracking staff and patients during an emergency.
E 18 · April 9, 2026 · Corrected (the home has a date of correction)
- C
Establish policies and procedures for medical documentation.
E 23 · April 9, 2026 · Corrected (the home has a date of correction)
- C
Conduct testing and exercise requirements.
E 39 · April 9, 2026 · Corrected (the home has a date of correction)
- C
Meet other general requirements.
K 100 · April 9, 2026 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · June 20, 2025 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · June 20, 2025 · Corrected (the home has a date of correction)
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · June 20, 2025 · Corrected (the home has a date of correction)
- F
Install corridor and hallway doors that block smoke.
K 363 · June 20, 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 · June 20, 2025 · Corrected (the home has a date of correction)
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
K 225 · June 20, 2025 · Corrected (the home has a date of correction)
- E
Have properly located and lighted "Exit" signs.
K 293 · June 20, 2025 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · June 20, 2025 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · June 20, 2025 · Corrected (the home has a date of correction)
- C
Conduct testing and exercise requirements.
E 39 · June 20, 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 · February 7, 2025 · Corrected (the home has a date of correction)
- E
Meet other general requirements.
K 100 · February 7, 2025 · Corrected (the home has a date of correction)
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
K 325 · February 7, 2025 · Corrected (the home has a date of correction)
- E
Install an approved automatic sprinkler system.
K 351 · February 7, 2025 · Waiver
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · February 7, 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 7, 2025 · Corrected (the home has a date of correction)
- E
Meet requirements for the installation and maintenance of electrical systems.
K 911 · February 7, 2025 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · February 7, 2025 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · February 7, 2025 · Corrected (the home has a date of correction)
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · February 7, 2025 · Corrected (the home has a date of correction)
- C
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · February 7, 2025 · Corrected (the home has a date of correction)