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Inspection visit

Fire Safety inspection

FOREST MANOR HCCCMS #31522411 citations on this visit
11 citations recorded

Citations

11 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.

  • 0037GeneralS&S Fpotential for harm

    Establish staff and initial training requirements.

  • 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.

  • 0223GeneralS&S Fpotential for harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

  • 0342GeneralS&S Fpotential for harm

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

  • 0345GeneralS&S Fpotential for harm

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

  • 0353GeneralS&S Fpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0355GeneralS&S Fpotential for harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

  • 0364GeneralS&S Fpotential for harm

    Install properly constructed windows in hallway walls or doors.

  • 0521GeneralS&S Fpotential for harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0911GeneralS&S Fpotential for harm

    Meet requirements for the installation and maintenance of electrical systems.

  • 0921GeneralS&S Fpotential 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 March 25, 2025 survey of FOREST MANOR HCC?

This was a inspection survey of FOREST MANOR HCC on March 25, 2025. The surveyor cited 11 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at FOREST MANOR HCC on March 25, 2025?

Yes, 11 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Establish staff and initial training requirements."

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.