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Inspection visit

Fire Safety inspection

BELLTOWER HEALTH & REHABILITATION CENTERCMS #15585024 citations on this visit
24 citations recorded

Citations

24 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.

  • 0039GeneralS&S Fpotential for harm

    Conduct testing and exercise requirements.

  • 0041GeneralS&S Fpotential for 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.

  • 0281GeneralS&S Epotential for harm

    Install proper backup exit lighting.

  • 0291GeneralS&S Fpotential for harm

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

  • 0346GeneralS&S Cno actual harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

  • 0351GeneralS&S Epotential for harm

    Install an approved automatic sprinkler system.

  • 0353GeneralS&S Fpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0354GeneralS&S Cno actual harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

  • 0355GeneralS&S Fpotential for harm

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

  • 0363GeneralS&S Fpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0500GeneralS&S Fpotential for harm

    Meet other general requirements that are deficient.

  • 0712GeneralS&S Fpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0741GeneralS&S Epotential for harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  • 0761GeneralS&S Epotential for harm

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

  • 0781GeneralS&S Epotential for harm

    Have restrictions on the use of portable space heaters.

  • 0914GeneralS&S Fpotential for harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  • 0918GeneralS&S Fpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0920GeneralS&S Epotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0921GeneralS&S Fpotential for harm

    Ensure that testing and maintenance of electrical equipment is performed.

  • 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.

  • 0324GeneralS&S Epotential for harm

    Provide properly protected cooking facilities.

  • 0345GeneralS&S Fpotential for harm

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

  • 0037GeneralS&S Fpotential for harm

    Establish staff and initial training requirements.

FAQ · About this visit

Common questions about this visit

What happened during the June 9, 2025 survey of BELLTOWER HEALTH & REHABILITATION CENTER?

This was a inspection survey of BELLTOWER HEALTH & REHABILITATION CENTER on June 9, 2025. The surveyor cited 24 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at BELLTOWER HEALTH & REHABILITATION CENTER on June 9, 2025?

Yes, 24 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Conduct testing and exercise requirements."

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.