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.
- 0022GeneralS&S Cno actual harm
Establish policies and procedures for sheltering.
- 0024GeneralS&S Cno actual harm
Establish policies and procedures for volunteers.
- 0034GeneralS&S Cno actual harm
Provide a means of sharing information on occupancy/needs.
- 0041GeneralS&S Cno actual harm
Implement emergency and standby power systems.
- 0232GeneralS&S Epotential for harm
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- 0271GeneralS&S Epotential for harm
Have exits that are accessible at all times.
- 0293GeneralS&S Epotential for harm
Have properly located and lighted "Exit" signs.
- 0324GeneralS&S Epotential for harm
Provide properly protected cooking facilities.
- 0345GeneralS&S Cno actual harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0353GeneralS&S Fpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0355GeneralS&S Bno actual harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0511GeneralS&S Cno actual harm
Have properly installed electrical wiring and gas equipment.
- 0522GeneralS&S Epotential for harm
Have an externally vented heating system.
- 0007GeneralS&S Cno actual harm
Address patient/client population and determine types of services needed.
- 0321GeneralS&S Epotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
FAQ · About this visit
Common questions about this visit
What happened during the January 12, 2023 survey of ST ELIZABETH HEALTHCARE CENTER?
This was a inspection survey of ST ELIZABETH HEALTHCARE CENTER on January 12, 2023. The surveyor cited 15 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at ST ELIZABETH HEALTHCARE CENTER on January 12, 2023?
Yes, 15 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Establish policies and procedures for sheltering."
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.