Inspection visit
Fire Safety inspection
Citations
22 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.
- 0024GeneralS&S Dpotential for harm
Establish policies and procedures for volunteers.
- 0036GeneralS&S Dpotential for harm
Establish emergency prep training and testing.
- 0007GeneralS&S Dpotential for harm
Address patient/client population and determine types of services needed.
- 0015GeneralS&S Dpotential for harm
Address subsistence needs for staff and patients.
- 0023GeneralS&S Dpotential for harm
Establish policies and procedures for medical documentation.
- 0034GeneralS&S Dpotential for harm
Provide a means of sharing information on occupancy/needs.
- 0035GeneralS&S Dpotential for harm
Provide family notifications of emergency plan.
- 0037GeneralS&S Dpotential for harm
Establish staff and initial training requirements.
- 0039GeneralS&S Dpotential for harm
Conduct testing and exercise requirements.
- 0291GeneralS&S Dpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0324GeneralS&S Epotential for harm
Provide properly protected cooking facilities.
- 0344GeneralS&S Fpotential for harm
Have an alternate power supply for its alarm system.
- 0345GeneralS&S Dpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0346GeneralS&S Dpotential for harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- 0347GeneralS&S Dpotential for harm
Properly provide smoke detection systems in areas open to corridors.
- 0353GeneralS&S Dpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0354GeneralS&S Dpotential for harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- 0355GeneralS&S Dpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0363GeneralS&S Dpotential for harm
Install corridor and hallway doors that block smoke.
- 0918GeneralS&S Dpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0919GeneralS&S Dpotential for harm
Meet requirements for the use of electrical equipment.
- 0926GeneralS&S Dpotential for harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
FAQ · About this visit
Common questions about this visit
What happened during the January 23, 2024 survey of FOREST HILL MANOR HEALTH CENTER?
This was a inspection survey of FOREST HILL MANOR HEALTH CENTER on January 23, 2024. The surveyor cited 22 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at FOREST HILL MANOR HEALTH CENTER on January 23, 2024?
Yes, 22 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Establish policies and procedures for volunteers."
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.