Inspection visit
Fire Safety inspection
Citations
11 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.
- 0281GeneralS&S Dpotential for harm
Install proper backup exit lighting.
- 0351GeneralS&S Dpotential for harm
Install an approved automatic sprinkler system.
- 0353GeneralS&S Dpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 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.
- 0374GeneralS&S Dpotential for harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- 0511GeneralS&S Cno actual harm
Have properly installed electrical wiring and gas equipment.
- 0712GeneralS&S Dpotential for harm
Have simulated fire drills held at unexpected times.
- 0771GeneralS&S Cno actual harm
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
- 0908GeneralS&S Dpotential for harm
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
- 0161GeneralS&S Dpotential for harm
Use approved construction type or materials.
FAQ · About this visit
Common questions about this visit
What happened during the May 2, 2025 survey of LAGUNA HONDA HOSPITAL & REHABILITATION CTR D/P SNF?
This was a inspection survey of LAGUNA HONDA HOSPITAL & REHABILITATION CTR D/P SNF on May 2, 2025. The surveyor cited 11 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at LAGUNA HONDA HOSPITAL & REHABILITATION CTR D/P SNF on May 2, 2025?
Yes, 11 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Install proper backup exit lighting."
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.