Inspection·January 29, 2024

E 000 Initial Comments

E 000 During the recertification survey conducted on 01/29/2024 at Clifford Chester Sims State Veterans Nursing Home, a nursing home in Panama City, FL, the Emergency Preparedness Program was reviewed. Clifford Chester Sims State Veterans Nursing Home complies with the Emergency Preparedness rule per Code of Federal Regulations (CFR) 42, Part 483.73, Requirement for Long-Term Care Facilities.

K 000 INITIAL COMMENTS

K 000 An unannounced Fire & Life Safety recertification survey was conducted 01/29/2024 at Clifford Chester Sims State Veterans Nursing Home, a nursing home in Panama City, Florida. The facility is in compliance with Code of Federal Regulations (CFR) 42, Part 483.90, Requirement for Long Term Care Facilities: Physical Environment and National Fire Protection Association (NFPA) 101 (2012 edition) and NFPA 99 (2012) requirements for nursing homes. Initial Plan Review:2003 Existing NFPA 220 Construction Type: II (222) Number of beds: 120 Census: 88 There were no deficiencies found at the time of the visit COMPLETED 01/29/2024 CLIFFORD CHESTER SIMS STATE VETERANS NURSI 4419 TRAM ROAD PANAMA CITY, FL 32404 PREFIX PREFIX COMPLETE DATE

K 000 INITIAL COMMENTS K 000 An unannounced Fire & Life Safety re-licensure survey was conducted on 01/29/2024 at Clifford Chester Sims State Veterans Nursing Home, a nursing home in Panama City, Florida, in accordance with National Fire Protection Association (NFPA) 1 and 101 (2021 edition) and applicable requirements of Florida State Fire Marshal's Rules and Regulations, Florida Administrative Code (F.A.C) 69A-3, F.A.C. 69A-53, F.A.C. 59A-4, and Florida Statutes (F.S.) 400 Part II, and F.S. 633.0215, adopting National Fire Protection Association (NFPA) 1 and 101 (2021 edition), collectively known as the Florida Fire Prevention Code, and all NFPA referenced standards and requirements adopted per NFPA 101, Chapter 2. There were no deficiencies found at the time of the visit STATE FORM 6809 PBHQ21