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Inspection visit

Fire Safety inspection

FRANCISCAN CARE CTR SYLVANIACMS #36590711 citations on this visit
11 citations recorded

Citations

11 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.

  • 0761GeneralS&S Epotential for harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  • 0004GeneralS&S Fpotential for harm

    Develop and maintain an Emergency Preparedness Program (EP).

  • 0291GeneralS&S Fpotential for harm

    Install emergency lighting that can last at least 1 1/2 hours.

  • 0311GeneralS&S Epotential for harm

    Have an enclosure around a vertical opening shaft.

  • 0353GeneralS&S Fpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0361GeneralS&S Epotential for harm

    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

  • 0363GeneralS&S Epotential for harm

    Install corridor and hallway doors that block smoke.

  • 0372GeneralS&S Fpotential for harm

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

  • 0511GeneralS&S Fpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0711GeneralS&S Fpotential for harm

    Provide a written emergency evacuation plan.

  • 0741GeneralS&S Fpotential for harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

FAQ · About this visit

Common questions about this visit

What happened during the June 13, 2024 survey of FRANCISCAN CARE CTR SYLVANIA?

This was a inspection survey of FRANCISCAN CARE CTR SYLVANIA on June 13, 2024. The surveyor cited 11 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at FRANCISCAN CARE CTR SYLVANIA on June 13, 2024?

Yes, 11 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "To conduct inspection, testing and maintenance of fire doors by qualified individuals."

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.