Inspection visit
Fire Safety inspection
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 Cno actual harm
Address patient/client population and determine types of services needed.
- 0015GeneralS&S Cno actual harm
Address subsistence needs for staff and patients.
- 0018GeneralS&S Cno actual harm
Establish procedures for tracking staff and patients during an emergency.
- 0020GeneralS&S Cno actual harm
Establish policies and procedures including evacuation.
- 0023GeneralS&S Cno actual harm
Establish policies and procedures for medical documentation.
- 0026GeneralS&S Cno actual harm
Establish roles under a Waiver declared by secretary.
- 0030GeneralS&S Cno actual harm
List the names and contact information of those in the facility.
- 0032GeneralS&S Cno actual harm
Provide primary/alternate means for communication.
- 0033GeneralS&S Cno actual harm
Establish methods for sharing information.
- 0034GeneralS&S Cno actual harm
Provide a means of sharing information on occupancy/needs.
- 0036GeneralS&S Cno actual harm
Establish emergency prep training and testing.
- 0037GeneralS&S Cno actual harm
Establish staff and initial training requirements.
- 0039GeneralS&S Cno actual harm
Conduct testing and exercise requirements.
- 0741GeneralS&S Dpotential 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 March 5, 2020 survey of BIRCHWOOD PARK REHABILITATION?
This was a inspection survey of BIRCHWOOD PARK REHABILITATION on March 5, 2020. The surveyor cited 14 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at BIRCHWOOD PARK REHABILITATION on March 5, 2020?
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.
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.