Inspection visit
Fire Safety inspection
Citations
5 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 Fpotential for harm
Install a two-hour-resistant firewall separation.
- 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.
- 0907GeneralS&S Fpotential for harm
Ensure medical gas and vacuum systems have documented maintenance programs.
- 0908GeneralS&S Fpotential for harm
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
- 0211GeneralS&S Dpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
FAQ · About this visit
Common questions about this visit
What happened during the October 16, 2020 survey of ELDERWOOD AT WAVERLY?
This was a inspection survey of ELDERWOOD AT WAVERLY on October 16, 2020. The surveyor cited 5 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at ELDERWOOD AT WAVERLY on October 16, 2020?
Yes, 5 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.