Federal inspection record · CMS data as of October 1, 2026

Autumn Creek Post Acute

587 Rio Lindo Avenue, Chico, CA · (530) 345-1306

  • Cited for abuse (CMS abuse icon)

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
184
Residents per day
155
Ownership
For-Profit
Chain
Corporate Interface Services
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 1, 1978

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in California.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among California homes

Autumn Creek Post Acute carries 182 inspection points. That is fewer than 12% of California's 1,154 rated homes.

5★4★3★2★1★+35 homes above 300.2505102550100200inspection points → fewer is better on the leftThis home · 182 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–33 pts
  • 4★ 33–66 pts
  • 3★ 66–96 pts
  • 2★ 96–146 pts
  • 1★ over 146 pts

Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

83 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 4 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 51 4 pts
E 26 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (4)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    October 27, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected November 12, 2025

  2. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    July 24, 2025 · Complaint inspection · Quality of Life and Care · F686 · Corrected August 5, 2025

  3. G

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    May 24, 2024 · Complaint inspection · Resident Rights · F580 · Corrected June 12, 2024

  4. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 5, 2023 · Complaint inspection · Quality of Life and Care · F689 · Corrected December 22, 2023

Everything else, by area of care

Resident Rights15E
  1. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    July 14, 2026 · Complaint · F552 · Corrected July 17, 2026

  2. D

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    April 23, 2026 · Complaint · F627 · Corrected May 8, 2026

  3. D

    Give the resident's representative the ability to exercise the resident's rights.

    December 4, 2025 · Complaint · F551 · Corrected December 20, 2025

  4. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    October 27, 2025 · Complaint · F580 · Corrected November 12, 2025

  5. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    August 25, 2025 · Complaint · F557 · Corrected September 5, 2025

  6. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    August 1, 2025 · Complaint · F578 · Corrected August 26, 2025

  7. E

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    February 28, 2025 · Complaint · F557 · Corrected March 10, 2025

  8. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    February 28, 2025 · Complaint · F580 · Corrected March 10, 2025

  9. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    February 6, 2025 · Standard · F584 · Corrected February 22, 2025

  10. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    December 2, 2024 · Complaint · F550 · Corrected December 13, 2024

  11. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    May 24, 2024 · Complaint · F550 · Corrected June 12, 2024

  12. D

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    March 12, 2024 · Complaint · F626 · Corrected March 25, 2024

  13. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    January 11, 2024 · Complaint · F550 · Corrected January 29, 2024

  14. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    January 9, 2024 · Complaint · F557 · Corrected January 19, 2024

  15. E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    August 12, 2021 · Standard · F584 · Corrected September 14, 2021

Resident Assessment and Care Planning14F
  1. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    August 11, 2026 · Complaint · F842 · Corrected August 13, 2026

  2. E

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    July 14, 2026 · Complaint · F655 · Corrected July 17, 2026

  3. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    February 20, 2026 · Complaint · F655 · Corrected February 21, 2026

  4. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    July 15, 2025 · Complaint · F657 · Corrected July 16, 2025

  5. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    February 28, 2025 · Complaint · F842 · Corrected March 10, 2025

  6. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    February 6, 2025 · Complaint · F842 · Corrected February 22, 2025

  7. D

    Plan the resident's discharge to meet the resident's goals and needs.

    May 24, 2024 · Complaint · F660 · Corrected June 12, 2024

  8. F

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    January 19, 2024 · Standard · F640 · Corrected February 23, 2024

  9. D

    Ensure each resident receives an accurate assessment.

    January 19, 2024 · Standard · F641 · Corrected February 23, 2024

  10. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 19, 2024 · Standard · F656 · Corrected February 23, 2024

  11. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    January 19, 2024 · Standard · F658 · Corrected February 23, 2024

  12. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    January 9, 2024 · Complaint · F657 · Corrected January 19, 2024

  13. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    December 11, 2023 · Complaint · F656 · Corrected December 26, 2023

  14. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    August 12, 2021 · Standard · F658 · Corrected September 14, 2021

Freedom from Abuse, Neglect, and Exploitation13E
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    May 21, 2026 · Complaint · F609 · Corrected May 21, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    March 9, 2026 · Complaint · F609 · Corrected April 1, 2026

  3. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    December 29, 2025 · Complaint · F609 · Corrected December 30, 2025

  4. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    October 27, 2025 · Complaint · F609 · Corrected November 12, 2025

  5. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    April 29, 2025 · Complaint · F609 · Corrected May 8, 2025

  6. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    February 6, 2025 · Complaint · F600 · Corrected February 22, 2025

  7. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    January 3, 2025 · Complaint · F600 · Corrected January 8, 2025

  8. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    December 2, 2024 · Complaint · F600 · Corrected December 13, 2024

  9. E

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    March 13, 2024 · Complaint · F607 · Corrected March 21, 2024

  10. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 13, 2024 · Complaint · F600 · Corrected March 21, 2024

  11. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    February 26, 2024 · Complaint · F600 · Corrected March 8, 2024

  12. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    January 11, 2024 · Complaint · F600 · Corrected January 29, 2024

  13. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    December 20, 2023 · Complaint · F600 · Corrected December 22, 2023

Quality of Life and Care11E
  1. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    July 28, 2026 · Complaint · F689 · Corrected August 25, 2026

  2. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 18, 2026 · Complaint · F689 · Corrected May 15, 2026

  3. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    October 27, 2025 · Complaint · F690 · Corrected November 12, 2025

  4. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 16, 2025 · Complaint · F689 · Corrected June 25, 2025

  5. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 26, 2024 · Complaint · F689 · Corrected September 10, 2024

  6. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    August 26, 2024 · Complaint · F698 · Corrected September 10, 2024

  7. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    June 15, 2024 · Complaint · F677 · Corrected June 18, 2024

  8. D

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    June 11, 2024 · Complaint · F678 · Corrected June 25, 2024

  9. E

    Honor each resident's preferences, choices, values and beliefs.

    January 10, 2024 · Complaint · F675 · Corrected January 26, 2024

  10. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 9, 2024 · Complaint · F677 · Corrected January 19, 2024

  11. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 12, 2021 · Standard · F689 · Corrected September 14, 2021

Nursing and Physician Services9E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    March 6, 2026 · Complaint · F725 · Corrected March 14, 2026

  2. E

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    January 6, 2026 · Complaint · F728 · Corrected January 26, 2026

  3. D

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    August 1, 2025 · Complaint · F711 · Corrected August 26, 2025

  4. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    February 6, 2025 · Standard · F725 · Corrected February 22, 2025

  5. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    November 15, 2024 · Complaint · F725 · Corrected December 7, 2024

  6. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    May 24, 2024 · Complaint · F725 · Corrected June 12, 2024

  7. E

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    May 24, 2024 · Complaint · F726 · Corrected June 12, 2024

  8. D

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    December 5, 2023 · Complaint · F726 · Corrected December 22, 2023

  9. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    August 12, 2021 · Standard · F725 · Corrected September 14, 2021

Pharmacy Service7F
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    December 31, 2025 · Complaint · F755 · Corrected January 5, 2026

  2. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    August 25, 2025 · Complaint · F761 · Corrected September 5, 2025

  3. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    July 15, 2025 · Complaint · F761 · Corrected July 22, 2025

  4. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    April 23, 2025 · Complaint · F755 · Corrected May 8, 2025

  5. E

    Ensure medication error rates are not 5 percent or greater.

    January 19, 2024 · Standard · F759 · Corrected February 23, 2024

  6. F

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    August 12, 2021 · Standard · F761 · Corrected September 14, 2021

  7. E

    Ensure medication error rates are not 5 percent or greater.

    August 12, 2021 · Standard · F759 · Corrected September 14, 2021

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    June 10, 2025 · Complaint · F880 · Corrected June 19, 2025

  2. E

    Provide and implement an infection prevention and control program.

    May 1, 2025 · Complaint · F880 · Corrected May 12, 2025

  3. D

    Provide and implement an infection prevention and control program.

    February 6, 2025 · Standard · F880 · Corrected February 22, 2025

Environmental3E
  1. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    June 3, 2025 · Complaint · F919 · Corrected June 13, 2025

  2. D

    Keep all essential equipment working safely.

    May 24, 2024 · Complaint · F908 · Corrected June 12, 2024

  3. E

    Keep all essential equipment working safely.

    August 12, 2021 · Standard · F908 · Corrected September 14, 2021

Administration2E
  1. E

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    January 6, 2026 · Complaint · F837 · Corrected January 26, 2026

  2. E

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    June 11, 2024 · Complaint · F836 · Corrected June 25, 2024

Nutrition and Dietary2D
  1. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    February 6, 2025 · Standard · F812 · Corrected February 22, 2025

  2. D

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    January 19, 2024 · Standard · F806 · Corrected February 23, 2024

Inspection history

  1. 2025-02-06

    25 health deficiencies · 6 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)

  2. 2024-01-19

    26 health deficiencies · 12 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (6 deficiencies)

  3. 2021-08-12

    32 health deficiencies · 7 fire-safety deficiencies

    Top issue: Quality of Life and Care (8 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 27 min of nursing staff time a day, 30 min of it from a registered nurse.

This home

4 h 27 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$106,707 in federal fines on record over the past three years.

DatePenaltyAmount
2026-02-20Payment Denial · 1 day denial$0
2025-10-27Fine$64,893
2025-07-15Fine$41,814
2025-07-15Payment Denial · 27 day denial$0
2023-12-05Payment Denial · 63 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.5 pts better1.72.21.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better1.21.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better100.0%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better100.0%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse2.0%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms5.8 pts better1.8%7.6%13.5%
Percentage of long-stay residents who lose too much weight2 pts better2.1%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts better12.3%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.7 pts worse15.0%12.3%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.2%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened5.8 pts worse14.7%8.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.4 pts worse12.6%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.5%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.4%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.5 pts worse12.3%9.8%18.3%
Percentage of long-stay residents with pressure ulcers0.9 pts better3.4%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.9 pts better99.5%94.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3 pts worse14.1%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same1.3%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.4 pts better99.5%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.1 pts worse26.7%22.6%23.4%

·

Who owns and runs it

12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Chico Heights Wellness Gp LLCGeneral Partnership Interest · Organization0%1 facilities
Chico Heights-Let LLCAdp Of The SNF · Organization0%1 facilities
Corporate Interface Services LLCOperational/Managerial Control · Organization0%42 facilities
Corporate Interface Services LLCAdp Of The SNF · Organization0%42 facilities
Garretson, CharlesOperational/Managerial Control · Individual0%6 facilities
Garretson, CharlesAdp Of The SNF · Individual0%6 facilities
Lerma, StephanieOperational/Managerial Control · Individual0%1 facilities
Lerma, StephanieAdp Of The SNF · Individual0%1 facilities
Rechnitz, ShlomoOperational/Managerial Control · Individual0%75 facilities
Rechnitz, ShlomoLimited Partnership Interest · Individual0%75 facilities
Rockport Administrative Services, LLCOperational/Managerial Control · Organization0%72 facilities
Rockport Administrative Services, LLCAdp Of The SNF · Organization0%72 facilities

·

Fire safety

25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke9F
  1. D

    Inspect, test, and maintain automatic sprinkler systems.

    February 6, 2025 · K353 · Corrected March 12, 2025

  2. D

    Install corridor and hallway doors that block smoke.

    February 6, 2025 · K363 · Corrected February 21, 2025

  3. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    January 19, 2024 · K345 · Corrected February 21, 2024

  4. E

    Install corridor and hallway doors that block smoke.

    January 19, 2024 · K363 · Corrected February 21, 2024

  5. C

    Properly select, install, inspect, or maintain portable fire extinguishes.

    January 19, 2024 · K355 · Corrected February 21, 2024

  6. D

    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

    August 12, 2021 · K343 · Corrected September 13, 2021

  7. D

    Inspect, test, and maintain automatic sprinkler systems.

    August 12, 2021 · K353 · Corrected September 13, 2021

  8. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    August 12, 2021 · K355 · Corrected September 13, 2021

  9. D

    Install corridor and hallway doors that block smoke.

    August 12, 2021 · K363 · Corrected September 13, 2021

Emergency Preparedness7F
  1. F

    Develop Emergency Preparedness policies and procedures.

    January 19, 2024 · E13 · Corrected February 21, 2024

  2. F

    Develop a communication plan.

    January 19, 2024 · E29 · Corrected February 21, 2024

  3. F

    Establish emergency prep training and testing.

    January 19, 2024 · E36 · Corrected February 21, 2024

  4. F

    Develop and maintain an Emergency Preparedness Program (EP).

    January 19, 2024 · E4 · Corrected February 21, 2024

  5. F

    Implement emergency and standby power systems.

    January 19, 2024 · E41 · Corrected February 21, 2024

  6. D

    Create arrangements with other facilities to receive patients.

    August 12, 2021 · E25 · Corrected September 13, 2021

  7. D

    Provide primary/alternate means for communication.

    August 12, 2021 · E32 · Corrected September 13, 2021

Gas, Vacuum, and Electrical Systems5F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    February 6, 2025 · K918 · Corrected March 12, 2025

  2. D

    Meet requirements for the use of electrical equipment.

    February 6, 2025 · K919 · Corrected February 21, 2025

  3. D

    Ensure proper usage of power strips and extension cords.

    February 6, 2025 · K920 · Corrected February 21, 2025

  4. F

    Have generator or other power source capable of supplying service within 10 seconds.

    January 19, 2024 · K918 · Corrected February 21, 2024

  5. D

    Ensure proper usage of power strips and extension cords.

    January 19, 2024 · K920 · Corrected February 21, 2024

Construction2D
  1. D

    Use approved construction type or materials.

    February 6, 2025 · K161 · Corrected February 21, 2025

  2. D

    Use approved construction type or materials.

    August 12, 2021 · K161 · Corrected September 13, 2021

Egress1D
  1. D

    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.

    January 19, 2024 · K222 · Corrected February 21, 2024

Miscellaneous1D
  1. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    January 19, 2024 · K741 · Corrected February 21, 2024

·

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