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.
- 0024GeneralS&S Cno actual harm
Establish policies and procedures for volunteers.
- 0311GeneralS&S Cno actual harm
Have an enclosure around a vertical opening shaft.
- 0321GeneralS&S Cno actual harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0351GeneralS&S Cno actual harm
Install an approved automatic sprinkler system.
- 0353GeneralS&S Cno actual harm
Inspect, test, and maintain automatic sprinkler systems.
- 0363GeneralS&S Cno actual harm
Install corridor and hallway doors that block smoke.
- 0371GeneralS&S Cno actual harm
Have properly sized and located compartments to protect residents from smoke.
- 0026GeneralS&S Cno actual harm
Establish roles under a Waiver declared by secretary.
- 0030GeneralS&S Cno actual harm
List the names and contact information of those in the facility.
- 0211GeneralS&S Cno actual harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0223GeneralS&S Cno actual harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 0293GeneralS&S Cno actual harm
Have properly located and lighted "Exit" signs.
- 0511GeneralS&S Cno actual harm
Have properly installed electrical wiring and gas equipment.
- 0761GeneralS&S Cno actual harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 0920GeneralS&S Cno actual harm
Ensure proper usage of power strips and extension cords.
FAQ · About this visit
Common questions about this visit
What happened during the July 29, 2021 survey of Orchard Park Rehab & Living Center?
This was a inspection survey of Orchard Park Rehab & Living Center on July 29, 2021. The surveyor cited 15 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at Orchard Park Rehab & Living Center on July 29, 2021?
Yes, 15 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Establish policies and procedures for volunteers."
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.