Inspection visit
Fire Safety inspection
Citations
17 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.
- 0026GeneralS&S Epotential for harm
Establish roles under a Waiver declared by secretary.
- 0035GeneralS&S Epotential for harm
Provide family notifications of emergency plan.
- 0271GeneralS&S Epotential for harm
Have exits that are accessible at all times.
- 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.
- 0353GeneralS&S Dpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0355GeneralS&S Epotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0363GeneralS&S Epotential for harm
Install corridor and hallway doors that block smoke.
- 0911GeneralS&S Epotential for harm
Meet requirements for the installation and maintenance of electrical systems.
- 0917GeneralS&S Cno actual harm
Ensure electrical receptacles or cover plates have distinctive color or marking.
- 0918GeneralS&S Dpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 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.
- 0006GeneralS&S Epotential for harm
Conduct risk assessment and an All-Hazards approach.
- 0007GeneralS&S Epotential for harm
Address patient/client population and determine types of services needed.
- 0371GeneralS&S Epotential for harm
Have properly sized and located compartments to protect residents from smoke.
- 0531GeneralS&S Dpotential for harm
Have elevators that firefighters can control in the event of a fire.
- 0015GeneralS&S Epotential for harm
Address subsistence needs for staff and patients.
FAQ · About this visit
Common questions about this visit
What happened during the June 15, 2021 survey of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER?
This was a inspection survey of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER on June 15, 2021. The surveyor cited 17 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER on June 15, 2021?
Yes, 17 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Establish roles under a Waiver declared by secretary."
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.