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

Autumn Lake Healthcare At Glade Valley

56 West Frederick Street, Walkersville, MD · (301) 898-4300

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
124
Residents per day
111
Ownership
For-Profit
Chain
Autumn Lake Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 10, 1997

1

How this home got 2 stars

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 Maryland.

  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

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Maryland homes

Autumn Lake Healthcare At Glade Valley carries 135 inspection points. That is fewer than 24% of Maryland's 219 rated homes.

5★4★3★2★1★+7 homes above 28405102550100200inspection points → fewer is better on the leftThis home · 135 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Maryland: 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★ 0–32 pts
  • 4★ 32–72 pts
  • 3★ 72–104.75 pts
  • 2★ 104.75–158.12 pts
  • 1★ over 158.12 pts

Bars show every rated home in Maryland 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

87 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 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 64 4 pts
E 16 8 pts
F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 2 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 (1)

  1. G

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

    November 15, 2023 · Complaint inspection · Quality of Life and Care · F689 · Corrected February 6, 2024

Everything else, by area of care

Quality of Life and Care18F
  1. D

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

    June 1, 2026 · Standard · F677 · Corrected July 24, 2026

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    June 1, 2026 · Standard · F684 · Corrected July 24, 2026

  3. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    June 1, 2026 · Standard · F688 · Corrected July 24, 2026

  4. D

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    June 1, 2026 · Standard · F700 · Corrected July 24, 2026

  5. D

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

    January 23, 2026 · Complaint · F677 · Corrected April 1, 2026

  6. D

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

    January 23, 2026 · Complaint · F689 · Corrected April 1, 2026

  7. D

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

    May 1, 2025 · Complaint · F677 · Corrected June 6, 2025

  8. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 1, 2025 · Complaint · F684 · Corrected June 6, 2025

  9. D

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

    May 1, 2025 · Complaint · F686 · Corrected June 6, 2025

  10. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    May 1, 2025 · Standard · F688 · Corrected June 6, 2025

  11. 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.

    May 1, 2025 · Standard · F690 · Corrected June 6, 2025

  12. D

    Provide safe and appropriate respiratory care for a resident when needed.

    May 1, 2025 · Standard · F695 · Corrected June 6, 2025

  13. D

    Ensure the activities program is directed by a qualified professional.

    November 15, 2023 · Complaint · F680 · Corrected February 6, 2024

  14. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    November 15, 2023 · Complaint · F684 · Corrected February 6, 2024

  15. F

    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

    October 15, 2021 · Standard · F741 · Corrected November 19, 2021

  16. E

    Provide safe and appropriate respiratory care for a resident when needed.

    October 15, 2021 · Standard · F695 · Corrected November 19, 2021

  17. D

    Provide activities to meet all resident's needs.

    October 15, 2021 · Standard · F679 · Corrected November 19, 2021

  18. D

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

    October 15, 2021 · Standard · F689 · Corrected November 19, 2021

Resident Assessment and Care Planning17E
  1. E

    Ensure each resident receives an accurate assessment.

    June 1, 2026 · Standard · F641 · Corrected July 24, 2026

  2. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    June 1, 2026 · Standard · F636 · Corrected July 24, 2026

  3. D

    Assess the resident when there is a significant change in condition

    June 1, 2026 · Standard · F637 · Corrected July 24, 2026

  4. D

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

    June 1, 2026 · Standard · F658 · Corrected July 24, 2026

  5. D

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

    June 1, 2026 · Standard · F842 · Corrected July 24, 2026

  6. D

    Ensure each resident receives an accurate assessment.

    May 1, 2025 · Standard · F641 · Corrected June 6, 2025

  7. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    May 1, 2025 · Standard · F645 · Corrected June 6, 2025

  8. D

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

    May 1, 2025 · Complaint · F655 · Corrected June 6, 2025

  9. D

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

    May 1, 2025 · Complaint · F656 · Corrected June 6, 2025

  10. D

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

    May 1, 2025 · Complaint · F657 · Corrected June 6, 2025

  11. D

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

    May 1, 2025 · Standard · F842 · Corrected June 6, 2025

  12. E

    Ensure each resident receives an accurate assessment.

    October 15, 2021 · Standard · F641 · Corrected November 19, 2021

  13. E

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

    October 15, 2021 · Standard · F656 · Corrected November 19, 2021

  14. E

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

    October 15, 2021 · Standard · F657 · Corrected November 19, 2021

  15. E

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

    October 15, 2021 · Standard · F658 · Corrected November 19, 2021

  16. D

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

    October 15, 2021 · Standard · F655 · Corrected November 19, 2021

  17. D

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

    October 15, 2021 · Standard · F842 · Corrected November 19, 2021

Freedom from Abuse, Neglect, and Exploitation12E
  1. D

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

    January 23, 2026 · Complaint · F600 · Corrected April 1, 2026

  2. D

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

    January 23, 2026 · Complaint · F609 · Corrected April 1, 2026

  3. D

    Respond appropriately to all alleged violations.

    January 23, 2026 · Complaint · F610 · Corrected April 1, 2026

  4. E

    Respond appropriately to all alleged violations.

    May 1, 2025 · Complaint · F610 · Corrected June 6, 2025

  5. D

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

    May 1, 2025 · Complaint · F609 · Corrected June 6, 2025

  6. D

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    May 1, 2025 · Complaint · F943 · Corrected June 6, 2025

  7. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    November 15, 2023 · Complaint · F602 · Corrected February 6, 2024

  8. E

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

    October 15, 2021 · Standard · F607 · Corrected November 19, 2021

  9. E

    Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

    October 15, 2021 · Standard · F608 · Corrected November 19, 2021

  10. E

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

    October 15, 2021 · Standard · F609 · Corrected November 19, 2021

  11. E

    Respond appropriately to all alleged violations.

    October 15, 2021 · Standard · F610 · Corrected November 19, 2021

  12. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    October 15, 2021 · Standard · F602 · Corrected November 19, 2021

Pharmacy Service11E
  1. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    June 1, 2026 · Standard · F757 · Corrected July 24, 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.

    June 1, 2026 · Standard · F761 · Corrected July 24, 2026

  3. D

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

    May 1, 2025 · Standard · F755 · Corrected June 6, 2025

  4. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    May 1, 2025 · Standard · F756 · Corrected June 6, 2025

  5. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    May 1, 2025 · Complaint · F758 · Corrected June 6, 2025

  6. 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.

    May 1, 2025 · Standard · F761 · Corrected June 6, 2025

  7. E

    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.

    October 15, 2021 · Standard · F761 · Corrected November 19, 2021

  8. D

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

    October 15, 2021 · Standard · F755 · Corrected November 19, 2021

  9. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    October 15, 2021 · Standard · F757 · Corrected November 19, 2021

  10. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    October 15, 2021 · Standard · F758 · Corrected November 19, 2021

  11. D

    Ensure medication error rates are not 5 percent or greater.

    October 15, 2021 · Standard · F759 · Corrected November 19, 2021

Resident Rights10E
  1. D

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

    June 1, 2026 · Standard · F550 · Corrected July 24, 2026

  2. D

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

    June 1, 2026 · Complaint · F580 · Corrected July 24, 2026

  3. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    June 1, 2026 · Complaint · F628 · Corrected July 24, 2026

  4. D

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

    May 1, 2025 · Standard · F550 · Corrected June 6, 2025

  5. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    May 1, 2025 · Standard · F561 · Corrected June 6, 2025

  6. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    May 1, 2025 · Standard · F582 · Corrected June 6, 2025

  7. 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.

    May 1, 2025 · Standard · F584 · Corrected June 6, 2025

  8. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    May 1, 2025 · Standard · F585 · Corrected June 6, 2025

  9. 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.

    October 15, 2021 · Standard · F584 · Corrected November 19, 2021

  10. D

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

    October 15, 2021 · Standard · F550 · Corrected November 19, 2021

Nursing and Physician Services8F
  1. E

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

    June 1, 2026 · Standard · F711 · Corrected July 24, 2026

  2. 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.

    May 1, 2025 · Complaint · F726 · Corrected June 6, 2025

  3. D

    Observe each nurse aide's job performance and give regular training.

    May 1, 2025 · Standard · F730 · Corrected June 6, 2025

  4. D

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    May 1, 2025 · Standard · F947 · Corrected June 6, 2025

  5. F

    Observe each nurse aide's job performance and give regular training.

    October 15, 2021 · Standard · F730 · Corrected November 19, 2021

  6. D

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

    October 15, 2021 · Standard · F711 · Corrected November 19, 2021

  7. D

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    October 15, 2021 · Standard · F947 · Corrected November 19, 2021

  8. C

    Post nurse staffing information every day.

    October 15, 2021 · Standard · F732 · Corrected November 19, 2021

Nutrition and Dietary4F
  1. F

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

    June 1, 2026 · Standard · F812 · Corrected July 24, 2026

  2. D

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    June 1, 2026 · Standard · F801 · Corrected July 24, 2026

  3. D

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    June 1, 2026 · Standard · F803 · Corrected July 24, 2026

  4. D

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    May 1, 2025 · Standard · F804 · Corrected June 6, 2025

Infection Control3F
  1. F

    Provide and implement an infection prevention and control program.

    June 1, 2026 · Standard · F880 · Corrected July 24, 2026

  2. D

    Provide and implement an infection prevention and control program.

    May 1, 2025 · Standard · F880 · Corrected June 6, 2025

  3. E

    Provide and implement an infection prevention and control program.

    October 15, 2021 · Standard · F880 · Corrected November 19, 2021

Environmental2E
  1. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    May 1, 2025 · Standard · F921 · Corrected June 6, 2025

  2. E

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

    October 15, 2021 · Standard · F919 · Corrected November 19, 2021

Administration1C
  1. C

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    October 15, 2021 · Standard · F838 · Corrected November 19, 2021

Inspection history

  1. 2026-06-01

    24 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

  2. 2025-05-01

    30 health deficiencies · 8 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

  3. 2021-10-15

    33 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (7 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 34 min of nursing staff time a day, 38 min of it from a registered nurse.

This home

3 h 34 min

Maryland average

3 h 56 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 46% of nursing staff and 44% of registered nurses left in the past year, along with 1 administrator.

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

$37,265 in federal fines on record over the past three years.

DatePenaltyAmount
2023-11-15Fine$37,265

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 days0.2 pts better1.11.31.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better1.01.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts better100.0%93.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better97.8%96.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts worse5.1%2.5%3.2%
Percentage of long-stay residents who have depressive symptoms19.8 pts better4.0%23.8%13.5%
Percentage of long-stay residents who lose too much weight2.8 pts better2.6%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.8 pts worse23.6%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.6 pts better10.5%14.1%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7.5 pts better12.4%19.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9.1 pts worse28.7%19.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.0%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts better0.3%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.2 pts better20.0%24.2%18.3%
Percentage of long-stay residents with pressure ulcers1.6 pts better4.1%5.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.5 pts better95.2%79.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.9 pts worse11.3%9.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse1.3%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.4 pts better88.7%81.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.9 pts worse27.1%20.2%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
56 West Frederick Holdco LLC5% Or Greater Direct Ownership Interest · Organization100%2 facilities
Accurate Staffing LLCAdp Of The SNF · Organization0%42 facilities
Brand Sonnenschine LlpAdp Of The SNF · Organization0%63 facilities
Eidlisz, SolomonIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%12 facilities
Gluck, RivkaIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%15 facilities
Schwartz, MarkOperational/Managerial Control · Individual0%56 facilities
Shah, HemenOperational/Managerial Control · Individual0%2 facilities
Shah, HemenAdp Of The SNF · Individual0%2 facilities
Weaver, CassandraOperational/Managerial Control · Individual0%1 facilities
Weaver, CassandraAdp Of The SNF · Individual0%1 facilities

·

Fire safety

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

Smoke8F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    June 1, 2026 · K353 · Corrected July 17, 2026

  2. E

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    June 1, 2026 · K362 · Corrected July 17, 2026

  3. E

    Install corridor and hallway doors that block smoke.

    June 1, 2026 · K363 · Corrected July 17, 2026

  4. F

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

    May 1, 2025 · K345 · Corrected July 16, 2025

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    May 1, 2025 · K353 · Corrected July 16, 2025

  6. D

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    May 1, 2025 · K362 · Corrected July 16, 2025

  7. D

    Inspect, test, and maintain automatic sprinkler systems.

    October 15, 2021 · K353 · Corrected November 19, 2021

  8. D

    Install corridor and hallway doors that block smoke.

    October 15, 2021 · K363 · Corrected November 19, 2021

Egress4E
  1. E

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    June 1, 2026 · K223 · Corrected July 17, 2026

  2. E

    Have properly located and lighted "Exit" signs.

    June 1, 2026 · K293 · Corrected July 17, 2026

  3. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    May 1, 2025 · K211 · Corrected July 16, 2025

  4. E

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    May 1, 2025 · K223 · Corrected July 16, 2025

Gas, Vacuum, and Electrical Systems3F
  1. F

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    May 1, 2025 · K916 · Corrected July 16, 2025

  2. F

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

    May 1, 2025 · K918 · Corrected July 16, 2025

  3. D

    Have proper medical gas storage and administration areas.

    May 1, 2025 · K923 · Corrected July 16, 2025

Emergency Preparedness2E
  1. E

    Establish staff and initial training requirements.

    October 15, 2021 · E37 · Corrected November 19, 2021

  2. D

    Develop and maintain an Emergency Preparedness Program (EP).

    October 15, 2021 · E4 · Corrected November 19, 2021

Miscellaneous2D
  1. D

    Have simulated fire drills held at unexpected times.

    October 15, 2021 · K712 · Corrected November 19, 2021

  2. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    October 15, 2021 · K761 · Corrected November 19, 2021

·

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