Inspection visit
Inspection
Citations
9 citations recorded*CMS
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.
- 0132GeneralS&S Fpotential for harm
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
- 0271GeneralS&S Fpotential for harm
Have exits that are accessible at all times.
- 0342GeneralS&S Fpotential for harm
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- 0363GeneralS&S Fpotential for harm
Install corridor and hallway doors that block smoke.
- 0521GeneralS&S Fpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
F761 - Labeling of Drugs and Biologicals
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 0928GeneralS&S Fpotential for harm
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.
F658 - Comprehensive Care Plans
Ensure services provided by the nursing facility meet professional standards of quality.
F812 - Food safety requirements
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FAQ · About this visit
Common questions about this visit
What happened during the September 26, 2024 survey of CHILDRENS SPECIALIZED HOSPITAL MOUNTAINSIDE?
This was a inspection survey of CHILDRENS SPECIALIZED HOSPITAL MOUNTAINSIDE on September 26, 2024. The surveyor cited 9 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at CHILDRENS SPECIALIZED HOSPITAL MOUNTAINSIDE on September 26, 2024?
Yes, 9 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive constructio..."
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.