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Inspection visit

Fire Safety inspection

AUTUMN LAKE HEALTHCARE AT PIKESVILLECMS #21508217 citations on this visit
17 citations recorded

Citations

17 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.

  • 0918GeneralS&S Fpotential for harm

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

  • 0921GeneralS&S Fpotential for harm

    Ensure that testing and maintenance of electrical equipment is performed.

  • 0006GeneralS&S Dpotential for harm

    Conduct risk assessment and an All-Hazards approach.

  • 0036GeneralS&S Epotential for harm

    Establish emergency prep training and testing.

  • 0037GeneralS&S Epotential for harm

    Establish staff and initial training requirements.

  • 0039GeneralS&S Epotential for harm

    Conduct testing and exercise requirements.

  • 0225GeneralS&S Fpotential for harm

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  • 0324GeneralS&S Epotential for harm

    Provide properly protected cooking facilities.

  • 0347GeneralS&S Fpotential for harm

    Properly provide smoke detection systems in areas open to corridors.

  • 0353GeneralS&S Fpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0362GeneralS&S Dpotential for harm

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

  • 0363GeneralS&S Fpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0712GeneralS&S Fpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0761GeneralS&S Fpotential for harm

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

  • 0900GeneralS&S Dpotential for harm

    Meet Health Care Facilities Code mechanical requirements.

  • 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.

  • 0923GeneralS&S Epotential for harm

    Have proper medical gas storage and administration areas.

FAQ · About this visit

Common questions about this visit

What happened during the August 11, 2022 survey of AUTUMN LAKE HEALTHCARE AT PIKESVILLE?

This was a inspection survey of AUTUMN LAKE HEALTHCARE AT PIKESVILLE on August 11, 2022. The surveyor cited 17 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at AUTUMN LAKE HEALTHCARE AT PIKESVILLE on August 11, 2022?

Yes, 17 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Have generator or other power source capable of supplying service within 10 seconds."

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.