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Inspection visit

Fire Safety inspection

HATHAWAY MANOR EXTENDED CARECMS #22536612 citations on this visit
12 citations recorded

Citations

12 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.

  • 0009GeneralS&S Fpotential for harm

    Include a process for Emergency Preparedness collaboration.

  • 0018GeneralS&S Fpotential for harm

    Establish procedures for tracking staff and patients during an emergency.

  • 0039GeneralS&S Fpotential for harm

    Conduct testing and exercise requirements.

  • 0291GeneralS&S Dpotential for harm

    Install emergency lighting that can last at least 1 1/2 hours.

  • 0300GeneralS&S Dpotential for harm

    Meet other general requirements that are deficient.

  • 0345GeneralS&S Fpotential for harm

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

  • 0353GeneralS&S Fpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0521GeneralS&S Epotential for harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0711GeneralS&S Epotential for harm

    Provide a written emergency evacuation plan.

  • 0712GeneralS&S Cno actual harm

    Have simulated fire drills held at unexpected times.

  • 0918GeneralS&S Fpotential for harm

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

  • 0927GeneralS&S Dpotential for harm

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

FAQ · About this visit

Common questions about this visit

What happened during the January 16, 2025 survey of HATHAWAY MANOR EXTENDED CARE?

This was a inspection survey of HATHAWAY MANOR EXTENDED CARE on January 16, 2025. The surveyor cited 12 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at HATHAWAY MANOR EXTENDED CARE on January 16, 2025?

Yes, 12 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Include a process for Emergency Preparedness collaboration."

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.