Inspection visit
Fire Safety inspection
Citations
10 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.
- 0133GeneralS&S Dpotential for harm
Install a two-hour-resistant firewall separation.
- 0161GeneralS&S Fpotential for harm
Use approved construction type or materials.
- 0281GeneralS&S Dpotential for harm
Install proper backup exit lighting.
- 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 Epotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0363GeneralS&S Dpotential for harm
Install corridor and hallway doors that block smoke.
- 0364GeneralS&S Dpotential for harm
Install properly constructed windows in hallway walls or doors.
- 0511GeneralS&S Epotential for harm
Have properly installed electrical wiring and gas equipment.
- 0531GeneralS&S Fpotential for harm
Have elevators that firefighters can control in the event of a fire.
- 0331GeneralS&S Dpotential for harm
Construct fire resistant interior walls.
FAQ · About this visit
Common questions about this visit
What happened during the May 16, 2025 survey of BISHOP REHABILITATION AND NURSING CENTER?
This was a inspection survey of BISHOP REHABILITATION AND NURSING CENTER on May 16, 2025. The surveyor cited 10 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at BISHOP REHABILITATION AND NURSING CENTER on May 16, 2025?
Yes, 10 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Install a two-hour-resistant firewall separation."
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.