Inspection visit
Fire Safety inspection
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.
- 0541GeneralS&S Dpotential for harm
Install properly constructed and protected linen or trash chutes.
- 0754GeneralS&S Dpotential for harm
Provide properly sized and located linen or trash receptacles.
- 0100GeneralS&S Dpotential for harm
Meet other general requirements.
- 0133GeneralS&S Fpotential for harm
Install a two-hour-resistant firewall separation.
- 0161GeneralS&S Fpotential for harm
Use approved construction type or materials.
- 0200GeneralS&S Fpotential for harm
Meet other general requirements.
- 0211GeneralS&S Dpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0232GeneralS&S Fpotential for harm
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- 0293GeneralS&S Dpotential for harm
Have properly located and lighted "Exit" signs.
- 0300GeneralS&S Dpotential for harm
Meet other general requirements that are deficient.
- 0353GeneralS&S Fpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0354GeneralS&S Dpotential for harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- 0355GeneralS&S Dpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
FAQ · About this visit
Common questions about this visit
What happened during the August 30, 2018 survey of FOREST HAVEN NURSING AND REHABILITATION CTR?
This was a inspection survey of FOREST HAVEN NURSING AND REHABILITATION CTR on August 30, 2018. The surveyor cited 13 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at FOREST HAVEN NURSING AND REHABILITATION CTR on August 30, 2018?
Yes, 13 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Install properly constructed and protected linen or trash chutes."
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.