Inspection visit
Fire Safety inspection
Citations
30 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.
- 0233GeneralS&S Dpotential for harm
Install resident room doors of proper design and width.
- 0024GeneralS&S Cno actual harm
Establish policies and procedures for volunteers.
- 0025GeneralS&S Cno actual harm
Create arrangements with other facilities to receive patients.
- 0041GeneralS&S Cno actual harm
Implement emergency and standby power systems.
- 0291GeneralS&S Dpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0293GeneralS&S Dpotential for harm
Have properly located and lighted "Exit" signs.
- 0341GeneralS&S Dpotential for harm
Install a fire alarm system that can be heard throughout the facility.
- 0351GeneralS&S Dpotential for harm
Install an approved automatic sprinkler system.
- 0771GeneralS&S Dpotential for harm
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
- 0901GeneralS&S Dpotential for harm
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
- 0914GeneralS&S Dpotential for harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 0915GeneralS&S Dpotential for harm
Have proper power supply for life support equipment.
- 0917GeneralS&S Dpotential for harm
Ensure electrical receptacles or cover plates have distinctive color or marking.
- 0015GeneralS&S Cno actual harm
Address subsistence needs for staff and patients.
- 0023GeneralS&S Cno actual harm
Establish policies and procedures for medical documentation.
- 0211GeneralS&S Dpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0222GeneralS&S Dpotential for harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 0224GeneralS&S Dpotential for harm
Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.
- 0227GeneralS&S Dpotential for harm
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
- 0271GeneralS&S Dpotential for harm
Have exits that are accessible at all times.
- 0281GeneralS&S Dpotential for harm
Install proper backup exit lighting.
- 0353GeneralS&S Dpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0362GeneralS&S Dpotential for harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- 0363GeneralS&S Dpotential for harm
Install corridor and hallway doors that block smoke.
- 0711GeneralS&S Dpotential for harm
Provide a written emergency evacuation plan.
- 0741GeneralS&S Dpotential for harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- 0761GeneralS&S Dpotential for harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 0916GeneralS&S Dpotential for harm
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- 0918GeneralS&S Dpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0923GeneralS&S Dpotential for harm
Have proper medical gas storage and administration areas.
FAQ · About this visit
Common questions about this visit
What happened during the August 4, 2022 survey of VIERRA FALLS CHURCH?
This was a inspection survey of VIERRA FALLS CHURCH on August 4, 2022. The surveyor cited 30 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at VIERRA FALLS CHURCH on August 4, 2022?
Yes, 30 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Install resident room doors of proper design and width."
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.