Inspection visit
Fire Safety inspection
Citations
18 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.
- 0023GeneralS&S Dpotential for harm
Establish policies and procedures for medical documentation.
- 0026GeneralS&S Dpotential for harm
Establish roles under a Waiver declared by secretary.
- 0032GeneralS&S Dpotential for harm
Provide primary/alternate means for communication.
- 0034GeneralS&S Dpotential for harm
Provide a means of sharing information on occupancy/needs.
- 0211GeneralS&S Dpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0291GeneralS&S Epotential 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.
- 0324GeneralS&S Epotential for harm
Provide properly protected cooking facilities.
- 0020GeneralS&S Dpotential for harm
Establish policies and procedures including evacuation.
- 0039GeneralS&S Dpotential for harm
Conduct testing and exercise requirements.
- 0345GeneralS&S Dpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 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.
- 0031GeneralS&S Dpotential for harm
Provide emergency officials' contact information.
- 0511GeneralS&S Dpotential for harm
Have properly installed electrical wiring and gas equipment.
- 0761GeneralS&S Epotential for harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 0918GeneralS&S Epotential 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 22, 2019 survey of STRATFORD VILLA POST-ACUTE?
This was a inspection survey of STRATFORD VILLA POST-ACUTE on August 22, 2019. The surveyor cited 18 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at STRATFORD VILLA POST-ACUTE on August 22, 2019?
Yes, 18 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Establish policies and procedures for medical documentation."
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.