Inspection visit
Fire Safety inspection
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.
- 0035GeneralS&S Dpotential for harm
Provide family notifications of emergency plan.
- 0223GeneralS&S Fpotential for harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 0006GeneralS&S Dpotential for harm
Conduct risk assessment and an All-Hazards approach.
- 0007GeneralS&S Dpotential for harm
Address patient/client population and determine types of services needed.
- 0013GeneralS&S Dpotential for harm
Develop Emergency Preparedness policies and procedures.
- 0023GeneralS&S Dpotential for harm
Establish policies and procedures for medical documentation.
- 0024GeneralS&S Dpotential for harm
Establish policies and procedures for volunteers.
- 0026GeneralS&S Dpotential for harm
Establish roles under a Waiver declared by secretary.
- 0033GeneralS&S Dpotential for harm
Establish methods for sharing information.
- 0015GeneralS&S Dpotential for harm
Address subsistence needs for staff and patients.
- 0018GeneralS&S Dpotential for harm
Establish procedures for tracking staff and patients during an emergency.
- 0022GeneralS&S Dpotential for harm
Establish policies and procedures for sheltering.
- 0712GeneralS&S Fpotential for harm
Have simulated fire drills held at unexpected times.
FAQ · About this visit
Common questions about this visit
What happened during the July 9, 2019 survey of SOUTH ROANOKE NURSING AND REHABILITATION?
This was a inspection survey of SOUTH ROANOKE NURSING AND REHABILITATION on July 9, 2019. The surveyor cited 13 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at SOUTH ROANOKE NURSING AND REHABILITATION on July 9, 2019?
Yes, 13 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide family notifications of emergency plan."
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.
SourceView on CMS Care Compare
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.