Inspection visit
Fire Safety inspection
Citations
10 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.
- 0712GeneralS&S Cno actual harm
Have simulated fire drills held at unexpected times.
- 0918GeneralS&S Fpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0919GeneralS&S Epotential for harm
Meet requirements for the use of electrical equipment.
- 0007GeneralS&S Cno actual harm
Address patient/client population and determine types of services needed.
- 0024GeneralS&S Cno actual harm
Establish policies and procedures for volunteers.
- 0026GeneralS&S Cno actual harm
Establish roles under a Waiver declared by secretary.
- 0036GeneralS&S Cno actual harm
Establish emergency prep training and testing.
- 0039GeneralS&S Cno actual harm
Conduct testing and exercise requirements.
- 0345GeneralS&S Cno actual harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0347GeneralS&S Fpotential for harm
Properly provide smoke detection systems in areas open to corridors.
FAQ · About this visit
Common questions about this visit
What happened during the May 2, 2025 survey of West Shore Post Acute?
This was a inspection survey of West Shore Post Acute on May 2, 2025. The surveyor cited 10 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at West Shore Post Acute on May 2, 2025?
Yes, 10 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Have simulated fire drills held at unexpected times."
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.