Inspection visit
Fire Safety inspection
Citations
25 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.
- 0321GeneralS&S Epotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0353GeneralS&S Epotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0372GeneralS&S Fpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 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.
- 0920GeneralS&S Fpotential for harm
Ensure proper usage of power strips and extension cords.
- 0923GeneralS&S Epotential for harm
Have proper medical gas storage and administration areas.
- 0932GeneralS&S Fpotential for harm
Meet other general requirements.
- 0004GeneralS&S Epotential for harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0006GeneralS&S Epotential for harm
Conduct risk assessment and an All-Hazards approach.
- 0013GeneralS&S Epotential for harm
Develop Emergency Preparedness policies and procedures.
- 0018GeneralS&S Epotential for harm
Establish procedures for tracking staff and patients during an emergency.
- 0020GeneralS&S Epotential for harm
Establish policies and procedures including evacuation.
- 0024GeneralS&S Epotential for harm
Establish policies and procedures for volunteers.
- 0026GeneralS&S Epotential for harm
Establish roles under a Waiver declared by secretary.
- 0032GeneralS&S Epotential for harm
Provide primary/alternate means for communication.
- 0033GeneralS&S Epotential for harm
Establish methods for sharing information.
- 0035GeneralS&S Epotential for harm
Provide family notifications of emergency plan.
- 0041GeneralS&S Epotential for harm
Implement emergency and standby power systems.
- 0161GeneralS&S Fpotential for harm
Use approved construction type or materials.
- 0222GeneralS&S Fpotential 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.
- 0374GeneralS&S Epotential for harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- 0030GeneralS&S Epotential for harm
List the names and contact information of those in the facility.
- 0037GeneralS&S Epotential for harm
Establish staff and initial training requirements.
- 0015GeneralS&S Epotential for harm
Address subsistence needs for staff and patients.
FAQ · About this visit
Common questions about this visit
What happened during the May 27, 2021 survey of CLARENCE CARE CENTER?
This was a inspection survey of CLARENCE CARE CENTER on May 27, 2021. The surveyor cited 25 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at CLARENCE CARE CENTER on May 27, 2021?
Yes, 25 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguish..."
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.