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 41 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
13E
21F
Potential for minimal harm
0A
0B
0C
March 26, 2025Standard inspection · 13 citations
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on dining observations, review of policies procedures and facility staff interview performed on 03/24/2025 through 03/26/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to ensure that each resident (R), receives and the facility provides food and drink that is palatable, attractive, and at a safe and appetizing temperature. This deficiency affects 1 out of 12 residents admitted receiving services (R #268).
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations of the Kitchen, review of policies procedures and facility staff interview performed on 03/24/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to comply with the required sink compartment sanitations. This deficient practice could affect 24 out of 24 residents admitted receiving care at the facility.
- F
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation during medication pass performance on 03/25/2025 from 8:22 AM till 9:30 AM, it was determined that the facility failed to ensure establish and maintain an infection prevention and control program relate to hand washing during the drug pass and failed to ensure establish and maintain an infection prevention and control program related to changing gloves in bed baths in 1 out of 1 resident observed (RR #215)
- F
Keep all essential equipment working safely.
Inspectors wroteBased on observations performed on 03/24/2025 from 8:30 AM through 3:30 PM, it was determined that the facility failed to maintain all patient care equipment in safe operating condition. This deficient practice affects 24 out of 24 residents admitted receiving treatment at the facility.
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on observation and eighteen records reviewed (RR) on 03/24/2025 through 03/26/2025 from 9:00 AM to 3:00 PM, it was determined that the facility did not ensure providing in making decisions regarding medical care and treatment with the resident or representative in advance directives 2 out of 18 records reviewed. (R.R #106 and #108).
- 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 with residents, facility administrator and physical environment personnel during the survey for the physical environment, it was determined that the facility failed to ensure that resident's sleeping rooms have comfortable and safe temperature levels and room environment is not homelike. This deficient practice was identified in 5 out of 20 residents' rooms.
- 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 review of twelve medical records, resident interview and interview with the Administrator (employee #1) performed from 03/24/2025 thru 03/26/2025, from 8:00 AM thru 3:30 PM, it was determined that the facility failed to develop and implement baseline care plan within 48 hours of a resident's admission in order to promote the continuity of care and communication among nursing home staff, increase resident safety, and safeguard against adverse events that are most likely to occur right after admission; and to ensure the resident and representative, if applicable, are informed of the initial plan for delivery of care and services. This deficient practice was identified in 2 out of 12 cases reviewed. (RR #265, #266) and fail to update information based on the comprehensive care plan identified on 5 out of 6 records reviews. (Residents #6, # 7, #10, #13 and #108 ).
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wrote2. Resident #4 is a [AGE] year-old female admitted [DATE] with osteomyelitis sacral ulcer stage 4, according to the information collected in the medical record. a. On 3/24/2025 at 1:20 PM, it was noted in the medical record that the interdisciplinary care plan was not completed by recreational therapy, nutrition and pharmacy staff. The interdisciplinary care plan in the expected outcomes on the evaluation date there was no continuity or outcomes according to the care plan. On 03/25/2025 at 9:03 AM, medication pass nurse #11, referred that they discuss the interdisciplinary care plan every Tuesday with the nursing staff. On 03/25/2025 at 10:05 AM, employee #12, MDS coordinator, was interviewed and stated that cases are evaluated individually in the first seven days when they are completing the MDS, but officially the interdisciplinary group has not met since the pandemic. 3. [...]
- 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 observations performed on 03/24/25 through 03/26/25 from 8:30 AM till 4:00 PM and interview with Nursing personnel (employee #16), and Administrator (employee #1) it was identified that facility failed to develop and implement comprehensive person-centered care plan for a resident who is identified with social service's needs and failed to guarantee participation of the interdisciplinary group in the comprehensive care plan meetings This deficient practice affects 1 out of 12 residents included in the sample selection. (Resident #3).
- 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 wroteBased on observations performed on 03/24/25 through 03/26/25 from 8:30 AM till 4:00 PM and interview with Nursing personnel (employee #16), it was identified that facility failed to evidence that identify irregularities in the medication review were documented, reported and if necessary to the attending physician and pharmacist. This deficient practice affects 3 out of 12 residents included in the sample selection. (Resident #67, #265 and #268).
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on the observations made through the initial pool process and the request for policies and procedures to the administrative staff conducted on 03/24/2025 through 03/26/2025 from 8:00 AM to 3:30 PM, it was determined that the facility failed to provide a respectable service where the residents' dignity was maintained. This deficiency was identified in 1 out of 24 cases reviewed during the initial pool process (Resident #265). 1. Resident #265 is an [AGE] year-old female admitted on [DATE] with a diagnosis of decondition. The resident was observed on 03/24/2025 at 10:11 AM leaving the scale with no pants or sheets covering her legs so she was exposed to view. On 03/25/2025 at 9:15 AM a policy was requested from the facility regarding the procedure for female wheelchair use and was not provided. [...]
- 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 review of 12 medical records reviewed (RR) and interviews performed on 03/24/2025 through 03/26/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to promote mechanisms to identify the psychotropic drugs are not given unless the medication is necessary to treat a specific condition as diagnosed and documented in the clinical record. This deficient practice was identified in 2 out of 12 active records reviewed. (R.R. #265 and #268).
- 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 dining observations, review of policies procedures and facility staff interview performed on 03/24/2025 through 03/26/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to ensure that each resident receives food that accommodates resident allergies, intolerances, and preferences. This deficiency was identified in 1 out of 12 residents of the sample selection (Resident #268). 1. Resident interview #268 is a [AGE] year-old male admitted on [DATE] with a diagnosis of lumbar discitis osteomyelitis. -During the initial pool process on 03/24/2025 at 8:21 AM resident #268 indicated that when food is brought in sometimes there are foods that are not to his liking, when this happens the staff does not offer him some substitute food to ensure he has adequate food intake. [...]
May 15, 2024Standard inspection · 17 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 observations and interview with the Dietitian (employee #2) performed from 05/13/2024 thru 05/15/2024, from 8:00 AM thru 5:00 PM, it was determined that the facility failed to provide sufficient support for personnel safely and effectively carry out the functions of the food and nutrition service.
- F
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on dining observations, review of policies procedures and facility staff interview performed on 05/13/2024 through 05/15/2024 to from 8:30 AM through 4:30 PM, it was determined that the facility failed to ensure that residents needs and preferences related with food services are met. This deficiency was identified in 3 out 13 sample cases reviewed (Resident #116, #120 and #121).
- 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 dining observations, review of policies procedures and facility staff interview performed on 05/13/2024 through 05/15/2024 to from 8:30 AM through 4:30 PM, it was determined that the facility failed to ensure that input received from residents and preferences related with food services are met. This deficiency affects 4 out of 13 cases reviewed during initial pool process (Resident #108, #116, #120 and #121).
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on dining observations, review of policies procedures and facility staff interview performed on 05/13/2024 through 05/15/2024 to from 8:30 AM through 4:30 PM, it was determined that the facility failed to ensure that each resident receives, and the facility provides food and drink that is palatable, attractive, and at a safe and appetizing temperature. This deficiency affects 5 out of 13 cases admitted receiving services (Resident #108, #111, #116, #120 and #121).
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations of the Kitchen, review of policies procedures and facility staff interview performed on 05/13/2024 from 8:00 AM through 4:00 PM, it was determined that the facility failed to comply with the required sink compartment sanitations.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on review of Quality Assessment Performance Improvement ( QAPI) activities and interview with facility administrator (employee #1) performed on 05/13/24 through 05/15/24 from 8:00 AM till 4:30 PM it was determined that facility failed to ensure the participation of all required members on the Quality Assessment Performance Improvement (QAPI) committee meetings.
- F
Keep all essential equipment working safely.
Inspectors wroteBased on observations of the physical environment, review of policies procedures and facility staff interview performed on 05/13/2024 through 05/15/2024 from 8:00 AM through 5:00 PM, it was determined that the facility failed to maintain all patient care equipment in safe operating condition. This deficient practice had the potential to affect 21 out of 21 residents.
- F
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 of the physical environment and facility staff interview performed on 05/13/2024 through 05/15/2024 from 8:00 AM through 5:00 PM, it was determined that the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. This deficient practice had the potential to affect 21 out of 21 residents.
- F
Put firmly secured handrails on each side of hallways.
Inspectors wroteBased on observations of the physical environment, review of policies procedures and facility staff interview performed on 05/13/2024 through 05/15/2024 to from 8:00 AM through 5:00 PM, it was determined that the facility failed to equip corridors with firmly secured handrails on each side. This deficient practice had the potential to affect 21 out of 21 residents.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observations of the kitchen and physical environment performed on 05/13/2024 through 05/15/2024 from 8:00 AM through 5:00 PM, it was determined that the facility failed maintain an effective pest control program so that the facility is free of pests. This deficient practice had the potential to affect 21 out of 21 residents.
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on records reviewed (RR), residents' interview and registered nurse (RN) interview and policy and procedure review, it was found that the facility failed to ensure that patient right to request and formulate advance directive auto determination for 3 out of 18 resident record review. (Resident #105, #111 and #124)
- 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 of the physical environment, review of policies procedures and facility staff interview performed on 05/13/2024 through 05/15/2024 from 8:00 AM through 5:00 PM, it was determined that the facility failed to promote the resident right to receive services in a safe, clean, comfortable, and homelike environment.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on dining observations, review of policies procedures and facility staff interview performed on 05/13/2024 through 05/15/2024 to from 8:30 AM through 4:30 PM, it was determined that the facility failed to ensure that each resident receives food that accommodates resident allergies, intolerances, and preferences. This deficiency was identified in 1 out of 13 residents of the sample selection receiving services (Resident #108).
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wrote2. During review of record review of case #105 it was identified that facility nursing personnel receive telephonic orders on 05/09/24 at 9:00 PM, and on 05/11/24 at 9:13 PM by the physician. No authentication, sign, or confirmation of those telephone orders by the physician was evidenced on 05/13/24. 3. During the record review of case #108 it was identified that facility nursing personnel receive telephonic orders on 05/10/24 at 9:00 PM, and on 05/12/24 at 9:00 PM by the physician. No authentication, sign, or confirmation of those telephone order by the physician was evidenced on 05/13/24. [...]
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observations of the physical environment and facility staff interview performed on 05/13/2024 through 05/15/2024 from 8:00 AM through 5:00 PM, it was determined that the facility failed to maintain adequately equipped rooms to allow residents to call for staff assistance . This deficient practice had the potential to affect 4 out of 21 residents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on thirteen records reviewed (R.R.), and interview with the nursing supervisor (employee #3), it was determined that the facility failed to ensure that treatment and care provided to residents' place priority on identifying health identified concerns. This deficiency affects 1 out of 13 records reviewed. (Resident #120).
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on dining observations, review of policies procedures, thirteen records reviewed (RR) and facility staff interview performed on 05/13/2024 through 05/15/2024 to from 8:30 AM through 4:30 PM, it was determined that the facility failed to ensure that kitchen personnel follow therapeutic diet specifications consistent with the resident's comprehensive assessment. This deficiency affects 1 out of 13 records reviewed. (Resident #55).
April 5, 2023Standard inspection · 11 citations
- F
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on recertification survey and interview with kitchen manager (employee #8) and clinical dietitian (employee #1) on 04/03/2023 through 04/05/2023 to from 8:30 AM through 4:00 PM, it was determined that the facility failed to provide information related with the kitchen staffing pattern. This deficient practice had the potential to affects 22 out of 22 residents admitted receiving at the facility.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on a recertification survey, observations and facility staff interview performed on 04/03/2023 through 04/05/2023 to from 8:30 AM through 4:00 PM, it was determined that the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. This deficient practice affects 22 out of 22 residents admitted receiving services at the facility.
- F
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Inspectors wroteBased on a recertification survey, observations and facility staff interview performed on 04/03/2023 through 04/05/2023 to from 8:30 AM through 4:00 PM, it was determined that the facility failed to have in place a policy regarding use and storage of food brought to residents by family and other visitors to assure safe and sanitary storage and handling before consumption was not performed. This deficient practice affects 22 out of 22 residents admitted receiving at the facility.
- F
Provide and implement an infection prevention and control program.
Inspectors wroteBased on a recertification survey, observations, review of policies procedures and facility staff interview performed on 04/03/2023 through 04/05/2023 to from 8:30 AM through 4:00 PM, it was determined that the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections related to lack of handwashing procedures implementation before the use of gloves and failure to provide clean and safe environment at the linen washing and drying laundry area. This deficient practice affects 22 out of 22 residents admitted receiving at the facility.
- F
Keep all essential equipment working safely.
Inspectors wroteBased on a recertification survey, observations performed on 04/03/2023 through 04/05/2023 to from 8:30 AM through 4:00 PM, it was determined that the facility failed to maintain all patient care equipment in safe operating condition. This deficient practice affects 22 out of 22 residents admitted receiving at the facility.
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on a recertification survey, observations, review of policies procedures performed on 04/03/2023 through 04/05/2023 to from 8:30 AM through 4:00 PM, it was determined that the facility failed to promote the resident right to receive services in a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. This deficient practice affects 22 out of 22 residents admitted receiving at the facility.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on a recertification survey, observations, and review of policies procedures and pest control documents on 04/03/2023 through 04/05/2023 to from 8:30 AM through 4:00 PM, it was determined that the facility failed to maintain an effective pest control program so that the facility is free of pests and rodents. This deficient practice affects 22 out of 22 residents admitted receiving at the facility. Fndings include: 1. During visual inspection of the facility a two bulb UV light insect machine was observed with only one of the bulb functioning. 2. During visual inspection of the facility outside corridors were observed with spiderwebs and spiders between the upper part of walls and acustic ceiling tiles. [...]
- 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 wrote3. During the tour in the residents room from 10:00 AM to 12:00 PM, the following was observed: a. On 4/4/2023 at 10:01 AM residents room [ROOM NUMBER], it was observed the emergency cable tied to the grab bar in the bathroom. b. On 4/4/2023 At 10:05 AM the residents room [ROOM NUMBER], it was observed the toilet with black spots. c. On 4/4/2023 at 10:25 AM the resident room [ROOM NUMBER]-A, it was observed stained floor. d. On 4/4/2023 at 10 :45AM the resident room [ROOM NUMBER]-A, it was observed the bedding with food residues and dirty. e. On 4/4/2023 at 11:02 AM the resident room [ROOM NUMBER]-A. it was observed that the part under the lamp did not work. f. On 4/4/2023 at 11:08 AM the resident room [ROOM NUMBER]-C, it was observed in the upper part of the closet with a white and detached stain. [...]
- E
Put firmly secured handrails on each side of hallways.
Inspectors wroteBased on a recertification survey, observations, review of policies procedures performed on 04/03/2023 through 04/05/2023 to from 8:30 AM through 4:00 PM, it was determined that the facility failed to firmly secured handrails on each side. This deficient practice affects 22 out of 22 residents admitted receiving at the facility.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on a recertification survey twelve records reviewed (R.R.), it was determined that the facility failed to ensure that the Skilled Nursing Facility (SNF) personnel develop a baseline care plan within the first 48 hours of admission which provides instructions for the provision of effective and person-centered care to each resident. This deficiency affects 1 out of 12 record reviews. (Resident #70)
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on recertification survey, review of twelve medical records, and interviews conducted 4/3/2023 to 4/5/2023 from 8:00AM to 4:00PM, it was determined that the facility failed to ensure that the resident medication regimen was reviewed in accordance with policy. This deficient practice was identified in 1 out of 12 active cases (Resident Sample #66).
Fire safety inspections
54 fire safety citations on file: 22 on March 26, 2025, 22 on May 15, 2024, 10 on April 12, 2022.
Every fire safety citation54 citations
- F
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · March 26, 2025 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · March 26, 2025 · Corrected (the home has a date of correction)
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · March 26, 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 · March 26, 2025 · Corrected (the home has a date of correction)
- E
Install proper backup exit lighting.
K 281 · March 26, 2025 · Corrected (the home has a date of correction)
- E
Have properly located and lighted "Exit" signs.
K 293 · March 26, 2025 · Corrected (the home has a date of correction)
- E
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · March 26, 2025 · Corrected (the home has a date of correction)
- E
Install an approved automatic sprinkler system.
K 351 · March 26, 2025 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · March 26, 2025 · Corrected (the home has a date of correction)
- E
Ensure medical gas and vacuum systems have documented maintenance programs.
K 907 · March 26, 2025 · Corrected (the home has a date of correction)
- E
Meet requirements for the installation and maintenance of electrical systems.
K 911 · March 26, 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 · March 26, 2025 · Corrected (the home has a date of correction)
- D
Establish policies and procedures for volunteers.
E 24 · March 26, 2025 · Corrected (the home has a date of correction)
- D
Create arrangements with other facilities to receive patients.
E 25 · March 26, 2025 · Corrected (the home has a date of correction)
- D
List the names and contact information of those in the facility.
E 30 · March 26, 2025 · Corrected (the home has a date of correction)
- D
Provide emergency officials' contact information.
E 31 · March 26, 2025 · Corrected (the home has a date of correction)
- D
Establish methods for sharing information.
E 33 · March 26, 2025 · Corrected (the home has a date of correction)
- D
Provide a means of sharing information on occupancy/needs.
E 34 · March 26, 2025 · Corrected (the home has a date of correction)
- D
Provide family notifications of emergency plan.
E 35 · March 26, 2025 · Corrected (the home has a date of correction)
- D
Establish emergency prep training and testing.
E 36 · March 26, 2025 · Corrected (the home has a date of correction)
- D
Implement emergency and standby power systems.
E 41 · March 26, 2025 · Corrected (the home has a date of correction)
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K 741 · March 26, 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 · May 15, 2024 · Corrected (the home has a date of correction)
- E
Install proper backup exit lighting.
K 281 · May 15, 2024 · Corrected (the home has a date of correction)
- E
Have properly located and lighted "Exit" signs.
K 293 · May 15, 2024 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · May 15, 2024 · Corrected (the home has a date of correction)
- E
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
K 901 · May 15, 2024 · Corrected (the home has a date of correction)
- E
Meet requirements for the installation and maintenance of electrical systems.
K 911 · May 15, 2024 · Corrected (the home has a date of correction)
- E
Have proper power supply for life support equipment.
K 915 · May 15, 2024 · Corrected (the home has a date of correction)
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
K 232 · May 15, 2024 · Corrected (the home has a date of correction)
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · May 15, 2024 · Corrected (the home has a date of correction)
- D
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · May 15, 2024 · Corrected (the home has a date of correction)
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
K 362 · May 15, 2024 · Corrected (the home has a date of correction)
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · May 15, 2024 · Corrected (the home has a date of correction)
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K 374 · May 15, 2024 · Corrected (the home has a date of correction)
- D
Have properly installed electrical wiring and gas equipment.
K 511 · May 15, 2024 · Corrected (the home has a date of correction)
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · May 15, 2024 · Corrected (the home has a date of correction)
- C
Include a process for Emergency Preparedness collaboration.
E 9 · May 15, 2024 · Corrected (the home has a date of correction)
- C
Develop Emergency Preparedness policies and procedures.
E 13 · May 15, 2024 · Corrected (the home has a date of correction)
- C
Establish procedures for tracking staff and patients during an emergency.
E 18 · May 15, 2024 · Corrected (the home has a date of correction)
- C
Establish policies and procedures for medical documentation.
E 23 · May 15, 2024 · Corrected (the home has a date of correction)
- C
Provide primary/alternate means for communication.
E 32 · May 15, 2024 · Corrected (the home has a date of correction)
- C
Provide family notifications of emergency plan.
E 35 · May 15, 2024 · Corrected (the home has a date of correction)
- C
Install an approved automatic sprinkler system.
K 351 · May 15, 2024 · Corrected (the home has a date of correction)
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K 223 · April 12, 2022 · Corrected (the home has a date of correction)
- E
Have properly located and lighted "Exit" signs.
K 293 · April 12, 2022 · 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 12, 2022 · Corrected (the home has a date of correction)
- D
Have exits that are accessible at all times.
K 271 · April 12, 2022 · Corrected (the home has a date of correction)
- D
Have proper medical gas storage and administration areas.
K 923 · April 12, 2022 · Corrected (the home has a date of correction)
- C
Provide rooms that can be unlocked from inside without a key.
K 221 · April 12, 2022 · Corrected (the home has a date of correction)
- C
Install proper backup exit lighting.
K 281 · April 12, 2022 · Corrected (the home has a date of correction)
- C
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · April 12, 2022 · Corrected (the home has a date of correction)
- C
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 12, 2022 · Corrected (the home has a date of correction)
- C
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · April 12, 2022 · Corrected (the home has a date of correction)