Inspection visit
Fire Safety inspection
Citations
15 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.
- 0004GeneralS&S Dpotential for harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0006GeneralS&S Epotential for harm
Conduct risk assessment and an All-Hazards approach.
- 0013GeneralS&S Dpotential for harm
Develop Emergency Preparedness policies and procedures.
- 0018GeneralS&S Dpotential for harm
Establish procedures for tracking staff and patients during an emergency.
- 0024GeneralS&S Fpotential for harm
Establish policies and procedures for volunteers.
- 0026GeneralS&S Dpotential for harm
Establish roles under a Waiver declared by secretary.
- 0039GeneralS&S Fpotential for harm
Conduct testing and exercise requirements.
- 0100GeneralS&S Fpotential for harm
Meet other general requirements.
- 0293GeneralS&S Fpotential for harm
Have properly located and lighted "Exit" signs.
- 0353GeneralS&S Fpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0363GeneralS&S Dpotential for harm
Install corridor and hallway doors that block smoke.
- 0521GeneralS&S Dpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0926GeneralS&S Dpotential for harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- 0927GeneralS&S Dpotential for harm
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- 0930GeneralS&S Dpotential for harm
Ensure proper storage of liquid oxygen.
FAQ · About this visit
Common questions about this visit
What happened during the January 18, 2019 survey of Teton Healthcare of Cascadia?
This was a inspection survey of Teton Healthcare of Cascadia on January 18, 2019. The surveyor cited 15 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at Teton Healthcare of Cascadia on January 18, 2019?
Yes, 15 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Develop and maintain an Emergency Preparedness Program (EP)."
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.