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Inspection visit

Fire Safety inspection

WESTGATE HILLS REHABILITATION AND NURSING CTRCMS #39517310 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.

  • 0007GeneralS&S Cno actual harm

    Address patient/client population and determine types of services needed.

  • 0026GeneralS&S Cno actual harm

    Establish roles under a Waiver declared by secretary.

  • 0036GeneralS&S Cno actual harm

    Establish emergency prep training and testing.

  • 0039GeneralS&S Cno actual harm

    Conduct testing and exercise 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.

  • 0324GeneralS&S Epotential for harm

    Provide properly protected cooking facilities.

  • 0353GeneralS&S Fpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0355GeneralS&S Cno actual harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

  • 0511GeneralS&S Epotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0920GeneralS&S Epotential for harm

    Ensure proper usage of power strips and extension cords.

FAQ · About this visit

Common questions about this visit

What happened during the November 7, 2024 survey of WESTGATE HILLS REHABILITATION AND NURSING CTR?

This was a inspection survey of WESTGATE HILLS REHABILITATION AND NURSING CTR on November 7, 2024. The surveyor cited 10 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at WESTGATE HILLS REHABILITATION AND NURSING CTR on November 7, 2024?

Yes, 10 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Address patient/client population and determine types of services needed."

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.