Centro De Cuidado Prolongado San Lucas

• Star rating

  The CMS staffing star rating changed from 1 of 5 to not rated by CMS.

• Star rating

  The CMS overall star rating changed from not rated by CMS to 1 of 5.

• Star rating

  The CMS health inspection star rating changed from not rated by CMS to 1 of 5.

• Star rating

  The CMS staffing star rating changed from not rated by CMS to 1 of 5.

CMS lists this as a standard inspection.

• Citation F0802. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

  CMS lists it as corrected on June 9, 2026.

• Citation F0851. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

  CMS lists it as corrected on June 9, 2026.

  CMS has cited this home for F0851 2 times since 2024.

• Citation F0908. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Keep all essential equipment working safely.

  CMS lists it as corrected on June 9, 2026.

  CMS has cited this home for F0908 2 times since 2024.

• Citation F0584. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: 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.

  CMS lists it as corrected on June 9, 2026.

  CMS has cited this home for F0584 2 times since 2024.

• Citation F0655. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  CMS lists it as corrected on June 9, 2026.

  CMS has cited this home for F0655 2 times since 2024.

• Citation F0656. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  CMS lists it as corrected on June 9, 2026.

• Citation F0657. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  CMS lists it as corrected on June 9, 2026.

• Citation F0582. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  CMS lists it as corrected on June 9, 2026.

  CMS has cited this home for F0582 2 times since 2024.

• Citation F0711. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

  CMS lists it as corrected on June 9, 2026.

• Citation F0756. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  CMS lists it as corrected on June 9, 2026.

• Citation F0803. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: 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.

  CMS lists it as corrected on June 9, 2026.

• Citation F0725. Severity C: potential for minimal harm, widespread.

  The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  CMS lists it as corrected on June 9, 2026.

• Citation F0868. Severity C: potential for minimal harm, widespread.

  The rule CMS cited: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  CMS lists it as corrected on June 9, 2026.

  CMS has cited this home for F0868 2 times since 2024.

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CMS lists this as a standard inspection.

• Citation K0232. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Have corridors or aisles that are unobstructed and are at least 8 feet in width.

  CMS lists it as corrected on June 9, 2026.

• Citation K0353. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

  CMS lists it as corrected on June 9, 2026.

  CMS has cited this home for K0353 2 times since 2024.

• Citation K0225. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  CMS lists it as corrected on June 9, 2026.

  CMS has cited this home for K0225 2 times since 2024.

• Citation K0281. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Install proper backup exit lighting.

  CMS lists it as corrected on June 9, 2026.

• Citation K0324. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Provide properly protected cooking facilities.

  CMS lists it as corrected on June 9, 2026.

• Citation K0351. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Install an approved automatic sprinkler system.

  CMS lists it as corrected on June 9, 2026.

• Citation K0372. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  CMS lists it as corrected on June 9, 2026.

• Citation K0741. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  CMS lists it as corrected on June 9, 2026.

• Citation K0914. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  CMS lists it as corrected on June 9, 2026.

• Citation K0918. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

  CMS lists it as corrected on June 9, 2026.

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• Fire safety citation

  CMS changed citation K0374 from severity F to E. It is from the fire safety inspection on October 2, 2024. Severity E: potential for more than minimal harm, pattern.

• Fire safety citation

  CMS changed citation K0511 from severity F to E. It is from the fire safety inspection on October 2, 2024. Severity E: potential for more than minimal harm, pattern.

• Fire safety citation

  CMS changed citation K0374 from severity E to F. It is from the fire safety inspection on September 10, 2024. Severity F: potential for more than minimal harm, widespread.

• Fire safety citation

  CMS changed citation K0511 from severity E to F. It is from the fire safety inspection on September 10, 2024. Severity F: potential for more than minimal harm, widespread.

• Listing

  This home now appears in CMS data.

CMS lists this as a standard inspection.

Severity L is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

2 of 9 Puerto Rico homes (22%) got a citation at the immediate jeopardy level in 2024.

• Citation F0550. Severity L: immediate jeopardy, widespread.

  The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  CMS lists it as corrected on October 22, 2024.

• Citation F0727. Severity L: immediate jeopardy, widespread.

  The rule CMS cited: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

  CMS lists it as corrected on October 22, 2024.

• Citation F0835. Severity L: immediate jeopardy, widespread.

  The rule CMS cited: Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  CMS lists it as corrected on October 22, 2024.

• Citation F0837. Severity L: immediate jeopardy, widespread.

  The rule CMS cited: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

  CMS lists it as corrected on October 22, 2024.

• Citation F0551. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Give the resident's representative the ability to exercise the resident's rights.

  CMS lists it as corrected on October 22, 2024.

• Citation F0552. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Ensure that residents are fully informed and understand their health status, care and treatments.

  CMS lists it as corrected on October 22, 2024.

• Citation F0553. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Allow resident to participate in the development and implementation of his or her person-centered plan of care.

  CMS lists it as corrected on October 22, 2024.

• Citation F0554. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Allow residents to self-administer drugs if determined clinically appropriate.

  CMS lists it as corrected on October 22, 2024.

• Citation F0555. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Honor the resident's right to choose his or her attending physician.

  CMS lists it as corrected on October 22, 2024.

• Citation F0557. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

  CMS lists it as corrected on October 22, 2024.

• Citation F0558. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

  CMS lists it as corrected on October 22, 2024.

• Citation F0559. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

  CMS lists it as corrected on October 2, 2024.

• Citation F0560. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Protect a residents' right to refuse some types of non-requested transfers within the nursing home.

  CMS lists it as corrected on October 22, 2024.

• Citation F0561. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  CMS lists it as corrected on October 22, 2024.

• Citation F0562. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Provide immediate access to any resident.

  CMS lists it as corrected on October 22, 2024.

• Citation F0563. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

  CMS lists it as corrected on October 22, 2024.

• Citation F0564. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.

  CMS lists it as corrected on October 22, 2024.

• Citation F0565. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Honor the resident's right to organize and participate in resident/family groups in the facility.

  CMS lists it as corrected on October 22, 2024.

• Citation F0566. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: 1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.

  CMS lists it as corrected on October 22, 2024.

• Citation F0567. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Honor the resident's right to manage his or her financial affairs.

  CMS lists it as corrected on October 22, 2024.

• Citation F0568. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

  CMS lists it as corrected on October 22, 2024.

• Citation F0569. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

  CMS lists it as corrected on October 22, 2024.

• Citation F0570. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Assure the security of all personal funds of residents deposited with the facility.

  CMS lists it as corrected on October 22, 2024.

• Citation F0571. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

  CMS lists it as corrected on October 22, 2024.

• Citation F0572. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Give residents a notice of rights, rules, services and charges.

  CMS lists it as corrected on October 22, 2024.

• Citation F0573. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

  CMS lists it as corrected on October 22, 2024.

• Citation F0574. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: The resident has the right to receive notices in a format and a language he or she understands.

  CMS lists it as corrected on October 22, 2024.

• Citation F0575. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

  CMS lists it as corrected on October 22, 2024.

• Citation F0576. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Ensure residents have reasonable access to and privacy in their use of communication methods.

  CMS lists it as corrected on October 22, 2024.

• Citation F0577. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

  CMS lists it as corrected on October 22, 2024.

• Citation F0578. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: 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.

  CMS lists it as corrected on October 22, 2024.

• Citation F0579. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Provide information about how to apply for and use Medicare and Medicaid benefits.

  CMS lists it as corrected on October 22, 2024.

• Citation F0580. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  CMS lists it as corrected on October 22, 2024.

• Citation F0582. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  CMS lists it as corrected on October 22, 2024.

• Citation F0583. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Keep residents' personal and medical records private and confidential.

  CMS lists it as corrected on October 22, 2024.

• Citation F0584. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: 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.

  CMS lists it as corrected on October 22, 2024.

• Citation F0585. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  CMS lists it as corrected on October 22, 2024.

• Citation F0586. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.

  CMS lists it as corrected on October 22, 2024.

• Citation F0600. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  CMS lists it as corrected on October 22, 2024.

• Citation F0602. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Protect each resident from the wrongful use of the resident's belongings or money.

  CMS lists it as corrected on October 22, 2024.

• Citation F0603. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

  CMS lists it as corrected on October 22, 2024.

• Citation F0604. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  CMS lists it as corrected on October 22, 2024.

• Citation F0605. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  CMS lists it as corrected on October 22, 2024.

• Citation F0606. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

  CMS lists it as corrected on October 22, 2024.

• Citation F0607. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  CMS lists it as corrected on October 22, 2024.

• Citation F0609. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  CMS lists it as corrected on October 22, 2024.

• Citation F0610. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Respond appropriately to all alleged violations.

  CMS lists it as corrected on October 22, 2024.

• Citation F0640. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  CMS lists it as corrected on October 22, 2024.

• Citation F0655. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  CMS lists it as corrected on October 22, 2024.

• Citation F0685. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Assist a resident in gaining access to vision and hearing services.

  CMS lists it as corrected on October 22, 2024.

• Citation F0691. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

  CMS lists it as corrected on October 22, 2024.

• Citation F0696. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Provide appropriate care/assistance for a resident with a prosthesis.

  CMS lists it as corrected on October 22, 2024.

• Citation F0699. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Provide care or services that was trauma informed and/or culturally competent.

  CMS lists it as corrected on October 22, 2024.

• Citation F0700. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

  CMS lists it as corrected on October 22, 2024.

• Citation F0740. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

  CMS lists it as corrected on October 22, 2024.

• Citation F0741. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

  CMS lists it as corrected on October 22, 2024.

• Citation F0770. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Provide timely, quality laboratory services/tests to meet the needs of residents.

  CMS lists it as corrected on October 22, 2024.

• Citation F0771. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Ensure laboratory services, blood blanks and transfusion services provided on-site meet requirements for certified laboratories.

  CMS lists it as corrected on October 22, 2024.

• Citation F0776. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

  CMS lists it as corrected on October 22, 2024.

• Citation F0790. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Provide routine and 24-hour emergency dental care for each resident.

  CMS lists it as corrected on October 22, 2024.

• Citation F0812. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  CMS lists it as corrected on October 22, 2024.

• Citation F0813. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Have a policy regarding use and storage of foods brought to residents by family and other visitors.

  CMS lists it as corrected on October 22, 2024.

• Citation F0825. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Provide or get specialized rehabilitative services as required for a resident.

  CMS lists it as corrected on October 22, 2024.

• Citation F0849. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: 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.

  CMS lists it as corrected on October 22, 2024.

• Citation F0851. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

  CMS lists it as corrected on October 22, 2024.

• Citation F0868. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  CMS lists it as corrected on October 22, 2024.

• Citation F0887. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

  CMS lists it as corrected on October 22, 2024.

• Citation F0895. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Have a Compliance and Ethics Program.

  CMS lists it as corrected on October 22, 2024.

• Citation F0908. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Keep all essential equipment working safely.

  CMS lists it as corrected on October 22, 2024.

• Citation F0924. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Put firmly secured handrails on each side of hallways.

  CMS lists it as corrected on October 22, 2024.

• Citation F0925. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

  CMS lists it as corrected on October 22, 2024.

• Citation F0946. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Provide training in compliance and ethics.

  CMS lists it as corrected on October 22, 2024.

• Citation F0949. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Provide behavior health training consistent with the requirements and as determined by a facility assessment.

  CMS lists it as corrected on October 22, 2024.

See this home on CMS Care Compare

CMS lists this as a standard inspection.

• Citation E0031. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Provide emergency officials' contact information.

  CMS lists it as corrected on October 22, 2024.

• Citation E0033. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Establish methods for sharing information.

  CMS lists it as corrected on October 22, 2024.

• Citation E0035. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Provide family notifications of emergency plan.

  CMS lists it as corrected on October 22, 2024.

• Citation K0225. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  CMS lists it as corrected on October 22, 2024.

• Citation K0291. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Install emergency lighting that can last at least 1 1/2 hours.

  CMS lists it as corrected on October 22, 2024.

• Citation K0293. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Have properly located and lighted "Exit" signs.

  CMS lists it as corrected on October 22, 2024.

• Citation K0321. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  CMS lists it as corrected on October 22, 2024.

• Citation K0345. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

  CMS lists it as corrected on October 22, 2024.

• Citation K0353. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

  CMS lists it as corrected on October 22, 2024.

• Citation K0712. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Have simulated fire drills held at unexpected times.

  CMS lists it as corrected on October 22, 2024.

• Citation K0751. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Have restrictions on the use of flammable curtains.

  CMS lists it as corrected on October 22, 2024.

• Citation K0912. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Have power receptacles that are properly grounded.

  CMS lists it as corrected on October 22, 2024.

• Citation K0374. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

  CMS lists it as corrected on October 22, 2024.

• Citation K0511. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Have properly installed electrical wiring and gas equipment.

  CMS lists it as corrected on October 22, 2024.

• Citation E0004. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Develop and maintain an Emergency Preparedness Program (EP).

  CMS lists it as corrected on October 22, 2024.

• Citation E0018. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Establish procedures for tracking staff and patients during an emergency.

  CMS lists it as corrected on October 22, 2024.

• Citation E0023. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Establish policies and procedures for medical documentation.

  CMS lists it as corrected on October 22, 2024.

• Citation E0024. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Establish policies and procedures for volunteers.

  CMS lists it as corrected on October 22, 2024.

• Citation E0030. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: List the names and contact information of those in the facility.

  CMS lists it as corrected on October 22, 2024.

• Citation E0034. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Provide a means of sharing information on occupancy/needs.

  CMS lists it as corrected on October 22, 2024.

See this home on CMS Care Compare