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Inspection visit

Fire Safety inspection

Pioneer Trace Group LLCCMS #18531411 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.

  • 0001GeneralS&S Fpotential for harm

    Establish an Emergency Preparedness Program (EP).

  • 0293GeneralS&S Fpotential for harm

    Have properly located and lighted "Exit" signs.

  • 0325GeneralS&S Epotential for harm

    Have properly installed hallway dispensers for alcohol-based hand rub.

  • 0353GeneralS&S Dpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0363GeneralS&S Dpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0372GeneralS&S Epotential for harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  • 0712GeneralS&S Fpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0741GeneralS&S Dpotential for harm

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

  • 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.

  • 0916GeneralS&S Fpotential for harm

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

  • 0921GeneralS&S Fpotential for harm

    Ensure that testing and maintenance of electrical equipment is performed.

FAQ · About this visit

Common questions about this visit

What happened during the October 3, 2024 survey of Pioneer Trace Group LLC?

This was a inspection survey of Pioneer Trace Group LLC on October 3, 2024. The surveyor cited 11 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Pioneer Trace Group LLC on October 3, 2024?

Yes, 11 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Establish 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.

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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.