Inspection visit
Fire Safety inspection
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.
- 0241GeneralS&S Epotential for harm
Have correct number of accessible exits for each story.
- 0345GeneralS&S Epotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0353GeneralS&S Epotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0271GeneralS&S Epotential for harm
Have exits that are accessible at all times.
- 0291GeneralS&S Dpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0300GeneralS&S Epotential for harm
Meet other general requirements that are deficient.
- 0311GeneralS&S Fpotential for harm
Have an enclosure around a vertical opening shaft.
- 0712GeneralS&S Fpotential for harm
Have simulated fire drills held at unexpected times.
- 0918GeneralS&S Epotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0225GeneralS&S Epotential for harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 0232GeneralS&S Epotential for harm
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- 0161GeneralS&S Fpotential for harm
Use approved construction type or materials.
FAQ · About this visit
Common questions about this visit
What happened during the April 2, 2024 survey of Pope Nursing Home?
This was a inspection survey of Pope Nursing Home on April 2, 2024. The surveyor cited 12 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at Pope Nursing Home on April 2, 2024?
Yes, 12 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Have correct number of accessible exits for each story."
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.