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Inspection visit

Fire Safety inspection

SAINT JOSEPH TRANSITIONAL REHABILITATION CENTERCMS #29504012 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.

  • 0222GeneralS&S Dpotential 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.

  • 0345GeneralS&S Epotential for harm

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

  • 0351GeneralS&S Epotential for harm

    Install an approved automatic sprinkler system.

  • 0353GeneralS&S Epotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0511GeneralS&S Epotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0013GeneralS&S Epotential for harm

    Develop Emergency Preparedness policies and procedures.

  • 0015GeneralS&S Epotential for harm

    Address subsistence needs for staff and patients.

  • 0036GeneralS&S Epotential for harm

    Establish emergency prep training and testing.

  • 0711GeneralS&S Epotential for harm

    Provide a written emergency evacuation plan.

  • 0761GeneralS&S Fpotential for harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  • 0918GeneralS&S Epotential for harm

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

  • 0921GeneralS&S Epotential for harm

    Ensure that testing and maintenance of electrical equipment is performed.

FAQ · About this visit

Common questions about this visit

What happened during the September 22, 2023 survey of SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER?

This was a inspection survey of SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER on September 22, 2023. The surveyor cited 12 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER on September 22, 2023?

Yes, 12 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.