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Inspection visit

Fire Safety inspection

AUTUMN LAKE HEALTHCARE AT GLEN HILLCMS #07503112 citations on this visit
12 citations recorded

Citations

12 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.

  • 0321GeneralS&S Dpotential for harm

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

  • 0324GeneralS&S Epotential for harm

    Provide properly protected cooking facilities.

  • 0345GeneralS&S Dpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0347GeneralS&S Dpotential for harm

    Properly provide smoke detection systems in areas open to corridors.

  • 0353GeneralS&S Fpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0374GeneralS&S Dpotential for harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

  • 0712GeneralS&S Fpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0761GeneralS&S Epotential for harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  • 0781GeneralS&S Dpotential for harm

    Have restrictions on the use of portable space heaters.

  • 0914GeneralS&S Dpotential for harm

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

  • 0918GeneralS&S Dpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0920GeneralS&S Dpotential for harm

    Ensure proper usage of power strips and extension cords.

FAQ · About this visit

Common questions about this visit

What happened during the May 23, 2023 survey of AUTUMN LAKE HEALTHCARE AT GLEN HILL?

This was a inspection survey of AUTUMN LAKE HEALTHCARE AT GLEN HILL on May 23, 2023. The surveyor cited 12 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at AUTUMN LAKE HEALTHCARE AT GLEN HILL on May 23, 2023?

Yes, 12 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguish..."

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.

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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.