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Inspection visit

Fire Safety inspection

GOODWILL MENNONITE HOME, INC.CMS #21525013 citations on this visit
13 citations recorded

Citations

13 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.

  • 0004GeneralS&S Fpotential for harm

    Develop and maintain an Emergency Preparedness Program (EP).

  • 0281GeneralS&S Dpotential for harm

    Install proper backup exit lighting.

  • 0293GeneralS&S Epotential for harm

    Have properly located and lighted "Exit" signs.

  • 0321GeneralS&S Dpotential for harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  • 0345GeneralS&S Fpotential for harm

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

  • 0347GeneralS&S Fpotential for harm

    Properly provide smoke detection systems in areas open to corridors.

  • 0500GeneralS&S Epotential for harm

    Meet other general requirements that are deficient.

  • 0511GeneralS&S Epotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0712GeneralS&S Fpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0754GeneralS&S Epotential for harm

    Provide properly sized and located linen or trash receptacles.

  • 0761GeneralS&S Epotential for harm

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

  • 0918GeneralS&S Fpotential for harm

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

  • 0923GeneralS&S Dpotential for harm

    Have proper medical gas storage and administration areas.

FAQ · About this visit

Common questions about this visit

What happened during the April 11, 2025 survey of GOODWILL MENNONITE HOME, INC.?

This was a inspection survey of GOODWILL MENNONITE HOME, INC. on April 11, 2025. The surveyor cited 13 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at GOODWILL MENNONITE HOME, INC. on April 11, 2025?

Yes, 13 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Develop and maintain 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.