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Inspection visit

Fire Safety inspection

PENINSULA NURSING AND REHABILITATION CENTERCMS #33538710 citations on this visit
10 citations recorded

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.

  • 0281GeneralS&S Epotential for harm

    Install proper backup exit lighting.

  • 0311GeneralS&S Epotential for harm

    Have an enclosure around a vertical opening shaft.

  • 0324GeneralS&S Dpotential for harm

    Provide properly protected cooking facilities.

  • 0132GeneralS&S Dpotential for harm

    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

  • 0161GeneralS&S Epotential for harm

    Use approved construction type or materials.

  • 0211GeneralS&S Epotential for harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

  • 0345GeneralS&S Cno actual harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0346GeneralS&S Dpotential for harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

  • 0353GeneralS&S Cno actual harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 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 July 28, 2022 survey of PENINSULA NURSING AND REHABILITATION CENTER?

This was a inspection survey of PENINSULA NURSING AND REHABILITATION CENTER on July 28, 2022. The surveyor cited 10 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at PENINSULA NURSING AND REHABILITATION CENTER on July 28, 2022?

Yes, 10 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.

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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.