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Inspection visit

Fire Safety inspection

Twin City Trails of Journey LLCCMS #11554011 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.

  • 0363GeneralS&S Epotential for harm

    Install corridor and hallway doors that block smoke.

  • 0511GeneralS&S Epotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0029GeneralS&S Fpotential for harm

    Develop a communication plan.

  • 0035GeneralS&S Fpotential for harm

    Provide family notifications of emergency plan.

  • 0355GeneralS&S Dpotential for harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

  • 0281GeneralS&S Epotential for harm

    Install proper backup exit lighting.

  • 0341GeneralS&S Fpotential for harm

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

  • 0039GeneralS&S Fpotential for harm

    Conduct testing and exercise requirements.

  • 0324GeneralS&S Dpotential for harm

    Provide properly protected cooking facilities.

  • 0345GeneralS&S Fpotential for harm

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

  • 0353GeneralS&S Fpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

FAQ · About this visit

Common questions about this visit

What happened during the February 5, 2020 survey of Twin City Trails of Journey LLC?

This was a inspection survey of Twin City Trails of Journey LLC on February 5, 2020. The surveyor cited 11 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Twin City Trails of Journey LLC on February 5, 2020?

Yes, 11 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Install corridor and hallway doors that block smoke."

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.