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Inspection visit

Inspection

VILLAGE AT ST EDWARD NRSG CARECMS #36583611 citations on this visit
11 citations recorded

Citations

11 citations recorded*CMS

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.

  • 0033GeneralS&S Cno actual harm

    Establish methods for sharing information.

  • 0034GeneralS&S Cno actual harm

    Provide a means of sharing information on occupancy/needs.

  • 0222GeneralS&S Epotential for harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  • 0227GeneralS&S Epotential for harm

    Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

  • 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 Fpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0363GeneralS&S Fpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0511GeneralS&S Epotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0521GeneralS&S Fpotential for harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0920GeneralS&S Fpotential for harm

    F920 - Dining and Resident Activities

    Ensure proper usage of power strips and extension cords.

  • 0100GeneralS&S Fpotential for harm

    Meet other general requirements.

FAQ · About this visit

Common questions about this visit

What happened during the September 26, 2019 survey of VILLAGE AT ST EDWARD NRSG CARE?

This was a inspection survey of VILLAGE AT ST EDWARD NRSG CARE on September 26, 2019. The surveyor cited 11 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at VILLAGE AT ST EDWARD NRSG CARE on September 26, 2019?

Yes, 11 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Establish methods for sharing information."

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.