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Inspection visit

Fire Safety inspection

Woods at Sparta of Journey LLC, TheCMS #11539711 citations on this visit
11 citations recorded

Citations

11 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.

  • 0324GeneralS&S Epotential for harm

    Provide properly protected cooking facilities.

  • 0004GeneralS&S Dpotential for harm

    Develop and maintain an Emergency Preparedness Program (EP).

  • 0211GeneralS&S Dpotential for harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

  • 0291GeneralS&S Fpotential for harm

    Install emergency lighting that can last at least 1 1/2 hours.

  • 0311GeneralS&S Dpotential for harm

    Have an enclosure around a vertical opening shaft.

  • 0341GeneralS&S Fpotential for harm

    Install a fire alarm system that can be heard throughout the facility.

  • 0372GeneralS&S Dpotential 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.

  • 0712GeneralS&S Epotential for harm

    Have simulated fire drills held at unexpected times.

  • 0761GeneralS&S Fpotential for harm

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

  • 0920GeneralS&S Fpotential for harm

    Ensure proper usage of power strips and extension cords.

FAQ · About this visit

Common questions about this visit

What happened during the August 11, 2024 survey of Woods at Sparta of Journey LLC, The?

This was a inspection survey of Woods at Sparta of Journey LLC, The on August 11, 2024. The surveyor cited 11 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Woods at Sparta of Journey LLC, The on August 11, 2024?

Yes, 11 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide properly protected cooking facilities."

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.