Inspection visit
Inspection
Citations
14 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.
- 0281GeneralS&S Cno actual harm
Install proper backup exit lighting.
F636 - Resident Assessment
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F638 - Quarterly Review Assessment
Assure that each resident’s assessment is updated at least once every 3 months.
F695 - Respiratory care, including tracheostomy care and tracheal suctioning
Provide safe and appropriate respiratory care for a resident when needed.
F697 - Pain Management
Provide safe, appropriate pain management for a resident who requires such services.
F760 - Residents are free of any significant medication errors
Ensure that residents are free from significant medication errors.
F880 - Infection Control
Provide and implement an infection prevention and control program.
- 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.
- 0345GeneralS&S Cno actual harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0353GeneralS&S Epotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0371GeneralS&S Fpotential for harm
Have properly sized and located compartments to protect residents from smoke.
- 0901GeneralS&S Cno actual harm
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
F918 - Bathroom Facilities
Have generator or other power source capable of supplying service within 10 seconds.
- 0015GeneralS&S Cno actual harm
Address subsistence needs for staff and patients.
FAQ · About this visit
Common questions about this visit
What happened during the February 7, 2023 survey of ACADIA CENTER FOR NURSING AND REHABILITATION?
This was a inspection survey of ACADIA CENTER FOR NURSING AND REHABILITATION on February 7, 2023. The surveyor cited 14 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at ACADIA CENTER FOR NURSING AND REHABILITATION on February 7, 2023?
Yes, 14 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Install proper backup exit lighting."
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.