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Inspection visit

Fire Safety inspection

Westgate Nursing & Rehabilitation CommunityCMS #2355658 citations on this visit
8 citations recorded

Citations

8 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.

  • 0222GeneralS&S Epotential for harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  • 0232GeneralS&S Fpotential for harm

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

  • 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.

  • 0353GeneralS&S Epotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0711GeneralS&S Fpotential for harm

    Provide a written emergency evacuation plan.

  • 0925GeneralS&S Dpotential for harm

    Ensure that sources of ignition are removed from patients receiving respiratory therapy.

  • 0039GeneralS&S Fpotential for harm

    Conduct testing and exercise requirements.

FAQ · About this visit

Common questions about this visit

What happened during the September 14, 2023 survey of Westgate Nursing & Rehabilitation Community?

This was a inspection survey of Westgate Nursing & Rehabilitation Community on September 14, 2023. The surveyor cited 8 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Westgate Nursing & Rehabilitation Community on September 14, 2023?

Yes, 8 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arra..."

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.