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Inspection visit

Fire Safety inspection

OPTIMA CARE CASTLE HILLCMS #31534415 citations on this visit
15 citations recorded

Citations

15 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.

  • 0004GeneralS&S Fpotential for harm

    Develop and maintain an Emergency Preparedness Program (EP).

  • 0018GeneralS&S Fpotential for harm

    Establish procedures for tracking staff and patients during an emergency.

  • 0281GeneralS&S Fpotential for harm

    Install proper backup exit lighting.

  • 0293GeneralS&S Fpotential for harm

    Have properly located and lighted "Exit" signs.

  • 0311GeneralS&S Fpotential for harm

    Have an enclosure around a vertical opening shaft.

  • 0321GeneralS&S Fpotential 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 Fpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0355GeneralS&S Fpotential for harm

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

  • 0363GeneralS&S Epotential for harm

    Install corridor and hallway doors that block smoke.

  • 0753GeneralS&S Epotential for harm

    Have restrictions on the use of highly flammable decorations.

  • 0914GeneralS&S Fpotential for harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  • 0921GeneralS&S Epotential for harm

    Ensure that testing and maintenance of electrical equipment is performed.

  • 0029GeneralS&S Fpotential for harm

    Develop a communication plan.

  • 0041GeneralS&S Fpotential for harm

    Implement emergency and standby power systems.

  • 0232GeneralS&S Fpotential for harm

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

FAQ · About this visit

Common questions about this visit

What happened during the March 10, 2025 survey of OPTIMA CARE CASTLE HILL?

This was a inspection survey of OPTIMA CARE CASTLE HILL on March 10, 2025. The surveyor cited 15 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at OPTIMA CARE CASTLE HILL on March 10, 2025?

Yes, 15 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Develop and maintain an Emergency Preparedness Program (EP)."

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.