Inspection visit
Fire Safety inspection
Citations
9 citations recorded*CMS
This is a Fire Safety survey. CMS cites these findings under the Life Safety Code and Emergency Preparedness rules, a separate set from the health (F-tag) deficiencies. The codes and grading differ, so these do not link to the health violation pages.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0331GeneralS&S Epotential for harm
Construct fire resistant interior walls.
- 0351GeneralS&S Epotential for harm
Install an approved automatic sprinkler system.
- 0362GeneralS&S Dpotential for harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- 0363GeneralS&S Dpotential for harm
Install corridor and hallway doors that block smoke.
- 0372GeneralS&S Epotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0374GeneralS&S Dpotential for harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- 0912GeneralS&S Epotential for harm
Have power receptacles that are properly grounded.
- 0920GeneralS&S Epotential for harm
Ensure proper usage of power strips and extension cords.
- 0925GeneralS&S Dpotential for harm
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
FAQ · About this visit
Common questions about this visit
What happened during the November 18, 2021 survey of LEISURE GLEN POST ACUTE CARE CENTER?
This was a inspection survey of LEISURE GLEN POST ACUTE CARE CENTER on November 18, 2021. The surveyor cited 9 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at LEISURE GLEN POST ACUTE CARE CENTER on November 18, 2021?
Yes, 9 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Construct fire resistant interior walls."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.