Inspection visit
Fire Safety inspection
Citations
31 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 Cno actual harm
Establish staff and initial training requirements.
- 0039GeneralS&S Cno actual harm
Conduct testing and exercise requirements.
- 0041GeneralS&S Cno actual harm
Implement emergency and standby power systems.
- 0223GeneralS&S Epotential 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.
- 0225GeneralS&S Epotential for harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 0271GeneralS&S Epotential for harm
Have exits that are accessible at all times.
- 0281GeneralS&S Epotential for harm
Install proper backup exit lighting.
- 0293GeneralS&S Epotential for harm
Have properly located and lighted "Exit" signs.
- 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.
- 0324GeneralS&S Epotential for harm
Provide properly protected cooking facilities.
- 0325GeneralS&S Epotential for harm
Have properly installed hallway dispensers for alcohol-based hand rub.
- 0345GeneralS&S Epotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0100GeneralS&S Epotential for harm
Meet other general requirements.
- 0200GeneralS&S Epotential for harm
Meet other general requirements.
- 0211GeneralS&S Epotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0222GeneralS&S Epotential 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.
- 0347GeneralS&S Epotential for harm
Properly provide smoke detection systems in areas open to corridors.
- 0351GeneralS&S Epotential for harm
Install an approved automatic sprinkler system.
- 0353GeneralS&S Epotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0355GeneralS&S Epotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0362GeneralS&S Epotential for harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- 0363GeneralS&S Epotential for harm
Install corridor and hallway doors that block smoke.
- 0372GeneralS&S Epotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0711GeneralS&S Epotential for harm
Provide a written emergency evacuation plan.
- 0712GeneralS&S Epotential for harm
Have simulated fire drills held at unexpected times.
- 0911GeneralS&S Epotential for harm
Meet requirements for the installation and maintenance of electrical systems.
- 0918GeneralS&S Epotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0920GeneralS&S Epotential for harm
Ensure proper usage of power strips and extension cords.
- 0921GeneralS&S Epotential for harm
Ensure that testing and maintenance of electrical equipment is performed.
- 0923GeneralS&S Epotential for harm
Have proper medical gas storage and administration areas.
- 0026GeneralS&S Cno actual harm
Establish roles under a Waiver declared by secretary.
FAQ · About this visit
Common questions about this visit
What happened during the April 21, 2023 survey of COMPREHENSIVE REHAB & NURSING CTR AT WILLIAMSVILLE?
This was a inspection survey of COMPREHENSIVE REHAB & NURSING CTR AT WILLIAMSVILLE on April 21, 2023. The surveyor cited 31 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at COMPREHENSIVE REHAB & NURSING CTR AT WILLIAMSVILLE on April 21, 2023?
Yes, 31 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.
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.