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Inspection visit

Fire Safety inspection

Vantage at Wakefield LLCCMS #22540010 citations on this visit
10 citations recorded

Citations

10 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.

  • 0006GeneralS&S Fpotential for harm

    Conduct risk assessment and an All-Hazards approach.

  • 0324GeneralS&S Fpotential for harm

    Provide properly protected cooking facilities.

  • 0345GeneralS&S Fpotential for harm

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

  • 0352GeneralS&S Fpotential for harm

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

  • 0353GeneralS&S Fpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0363GeneralS&S Fpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0372GeneralS&S Fpotential for harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  • 0711GeneralS&S Fpotential for harm

    Provide a written emergency evacuation plan.

  • 0712GeneralS&S Fpotential for 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.

FAQ · About this visit

Common questions about this visit

What happened during the February 4, 2025 survey of Vantage at Wakefield LLC?

This was a inspection survey of Vantage at Wakefield LLC on February 4, 2025. The surveyor cited 10 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Vantage at Wakefield LLC on February 4, 2025?

Yes, 10 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Conduct risk assessment and an All-Hazards approach."

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.