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Inspection visit

Fire Safety inspection

Hcc At White Horse VillageCMS #39583314 citations on this visit
14 citations recorded

Citations

14 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 Bno actual harm

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

  • 0023GeneralS&S Bno actual harm

    Establish policies and procedures for medical documentation.

  • 0024GeneralS&S Bno actual harm

    Establish policies and procedures for volunteers.

  • 0026GeneralS&S Bno actual harm

    Establish roles under a Waiver declared by secretary.

  • 0033GeneralS&S Bno actual harm

    Establish methods for sharing information.

  • 0034GeneralS&S Bno actual harm

    Provide a means of sharing information on occupancy/needs.

  • 0035GeneralS&S Bno actual harm

    Provide family notifications of emergency plan.

  • 0131GeneralS&S Epotential for harm

    Meet requirements for sections of health care facilities separated by fire resistive construction.

  • 0291GeneralS&S Epotential for harm

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

  • 0353GeneralS&S Fpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0355GeneralS&S Fpotential for harm

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

  • 0363GeneralS&S Epotential for harm

    Install corridor and hallway doors that block smoke.

  • 0374GeneralS&S Epotential for harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

  • 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 January 9, 2025 survey of Hcc At White Horse Village?

This was a inspection survey of Hcc At White Horse Village on January 9, 2025. The surveyor cited 14 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Hcc At White Horse Village on January 9, 2025?

Yes, 14 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.