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Inspection visit

Fire Safety inspection

WESTPARK HEALTHCARE CAMPUSCMS #36579613 citations on this visit
13 citations recorded

Citations

13 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 Cno actual harm

    Establish roles under a Waiver declared by secretary.

  • 0025GeneralS&S Cno actual harm

    Create arrangements with other facilities to receive patients.

  • 0133GeneralS&S Epotential for harm

    Install a two-hour-resistant firewall separation.

  • 0345GeneralS&S Bno 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.

  • 0363GeneralS&S Epotential for harm

    Install corridor and hallway doors that block smoke.

  • 0372GeneralS&S Epotential for harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  • 0753GeneralS&S Epotential for harm

    Have restrictions on the use of highly flammable decorations.

  • 0911GeneralS&S Dpotential for harm

    Meet requirements for the installation and maintenance of electrical systems.

  • 0919GeneralS&S Epotential for harm

    Meet requirements for the use of electrical equipment.

  • 0920GeneralS&S Epotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0923GeneralS&S Epotential for harm

    Have proper medical gas storage and administration areas.

  • 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 November 7, 2019 survey of WESTPARK HEALTHCARE CAMPUS?

This was a inspection survey of WESTPARK HEALTHCARE CAMPUS on November 7, 2019. The surveyor cited 13 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at WESTPARK HEALTHCARE CAMPUS on November 7, 2019?

Yes, 13 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.

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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.