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

Autumn Lake Healthcare At Glen Burnie

7355 Furnace Branch Road East, Glen Burnie, MD · (410) 766-3460

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
190
Residents per day
167
Ownership
For-Profit
Chain
Autumn Lake Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 1, 1994

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 Glen Burnie carries 127 inspection points. That is fewer than 28% of Maryland's 219 rated homes.

5★4★3★2★1★+7 homes above 28405102550100200inspection points → fewer is better on the leftThis home · 127 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

94 health citations on record since 2019. 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 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 75 4 pts
E 17 8 pts
F 0 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care22E
  1. D

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

    July 31, 2026 · Complaint · F677 · Corrected September 21, 2026

  2. D

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

    July 31, 2026 · Complaint · F684 · Corrected September 21, 2026

  3. E

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

    May 11, 2026 · Standard · F698 · Corrected July 1, 2026

  4. D

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

    May 11, 2026 · Standard · F684 · Corrected July 1, 2026

  5. 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.

    May 11, 2026 · Standard · F700 · Corrected July 1, 2026

  6. D

    Provide or obtain dental services for each resident.

    May 11, 2026 · Standard · F791 · Corrected July 1, 2026

  7. D

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

    February 27, 2025 · Standard · F677 · Corrected April 11, 2025

  8. D

    Provide activities to meet all resident's needs.

    February 27, 2025 · Complaint · F679 · Corrected April 11, 2025

  9. D

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

    February 27, 2025 · Complaint · F684 · Corrected April 11, 2025

  10. D

    Provide enough food/fluids to maintain a resident's health.

    February 27, 2025 · Standard · F692 · Corrected April 11, 2025

  11. D

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

    February 27, 2025 · Standard · F695 · Corrected April 11, 2025

  12. D

    Provide safe, appropriate pain management for a resident who requires such services.

    February 27, 2025 · Standard · F697 · Corrected April 11, 2025

  13. D

    Provide care or services that was trauma informed and/or culturally competent.

    February 27, 2025 · Standard · F699 · Corrected April 11, 2025

  14. D

    Provide routine and 24-hour emergency dental care for each resident.

    February 27, 2025 · Standard · F790 · Corrected April 11, 2025

  15. D

    Provide or obtain dental services for each resident.

    February 27, 2025 · Standard · F791 · Corrected April 11, 2025

  16. E

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

    December 11, 2019 · Standard · F684 · Corrected January 21, 2020

  17. E

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

    December 11, 2019 · Standard · F698 · Corrected January 21, 2020

  18. D

    Assist a resident in gaining access to vision and hearing services.

    December 11, 2019 · Standard · F685 · Corrected January 21, 2020

  19. D

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

    December 11, 2019 · Standard · F686 · Corrected January 21, 2020

  20. 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.

    December 11, 2019 · Standard · F688 · Corrected January 21, 2020

  21. D

    Provide enough food/fluids to maintain a resident's health.

    December 11, 2019 · Standard · F692 · Corrected January 21, 2020

  22. D

    Provide routine and 24-hour emergency dental care for each resident.

    December 11, 2019 · Standard · F790 · Corrected January 21, 2020

Resident Rights17E
  1. 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.

    July 31, 2026 · Complaint · F584 · Corrected September 21, 2026

  2. 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.

    May 11, 2026 · Standard · F578 · Corrected July 1, 2026

  3. D

    Keep residents' personal and medical records private and confidential.

    May 11, 2026 · Standard · F583 · Corrected July 1, 2026

  4. D

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

    May 11, 2026 · Complaint · F628 · Corrected July 1, 2026

  5. D

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

    February 27, 2025 · Standard · F561 · Corrected April 11, 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.

    February 27, 2025 · Standard · F578 · Corrected April 11, 2025

  7. D

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

    February 27, 2025 · Complaint · F580 · Corrected April 11, 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.

    February 27, 2025 · Complaint · F585 · Corrected April 11, 2025

  9. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    February 27, 2025 · Standard · F625 · Corrected April 11, 2025

  10. E

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

    December 11, 2019 · Standard · F561 · Corrected January 21, 2020

  11. 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.

    December 11, 2019 · Standard · F584 · Corrected January 21, 2020

  12. D

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

    December 11, 2019 · Standard · F550 · Corrected January 21, 2020

  13. D

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

    December 11, 2019 · Standard · F551 · Corrected January 21, 2020

  14. D

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    December 11, 2019 · Standard · F559 · Corrected January 21, 2020

  15. 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.

    December 11, 2019 · Standard · F578 · Corrected January 21, 2020

  16. D

    Keep residents' personal and medical records private and confidential.

    December 11, 2019 · Standard · F583 · Corrected January 21, 2020

  17. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    December 11, 2019 · Standard · F623 · Corrected January 21, 2020

Resident Assessment and Care Planning15E
  1. E

    Ensure each resident receives an accurate assessment.

    July 31, 2026 · Complaint · F641 · Corrected September 21, 2026

  2. D

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

    July 31, 2026 · Complaint · F636 · Corrected September 21, 2026

  3. E

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

    May 11, 2026 · Complaint · F842 · Corrected July 1, 2026

  4. D

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

    May 11, 2026 · Standard · F636 · Corrected July 1, 2026

  5. D

    Ensure each resident receives an accurate assessment.

    May 11, 2026 · Standard · F641 · Corrected July 1, 2026

  6. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    May 11, 2026 · Standard · F645 · Corrected July 1, 2026

  7. D

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

    May 11, 2026 · Complaint · F658 · Corrected July 1, 2026

  8. E

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

    February 27, 2025 · Complaint · F657 · Corrected April 11, 2025

  9. D

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

    February 27, 2025 · Standard · F636 · Corrected April 11, 2025

  10. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    February 27, 2025 · Standard · F645 · Corrected April 11, 2025

  11. D

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

    February 27, 2025 · Standard · F655 · Corrected April 11, 2025

  12. D

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

    February 27, 2025 · Standard · F656 · Corrected April 11, 2025

  13. D

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

    February 27, 2025 · Standard · F842 · Corrected April 11, 2025

  14. D

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

    December 11, 2019 · Standard · F657 · Corrected January 21, 2020

  15. D

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

    December 11, 2019 · Standard · F842 · Corrected January 21, 2020

Nutrition and Dietary9E
  1. D

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

    July 31, 2026 · Complaint · F804 · Corrected September 21, 2026

  2. 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.

    May 11, 2026 · Standard · F803 · Corrected July 1, 2026

  3. D

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

    May 11, 2026 · Standard · F806 · Corrected July 1, 2026

  4. E

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    February 27, 2025 · Standard · F800 · Corrected April 11, 2025

  5. E

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

    February 27, 2025 · Complaint · F812 · Corrected April 11, 2025

  6. E

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

    December 11, 2019 · Standard · F812 · Corrected January 21, 2020

  7. 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.

    December 11, 2019 · Standard · F803 · Corrected January 21, 2020

  8. D

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

    December 11, 2019 · Standard · F804 · Corrected January 21, 2020

  9. D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    December 11, 2019 · Standard · F805 · Corrected January 21, 2020

Freedom from Abuse, Neglect, and Exploitation7D
  1. D

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

    July 31, 2026 · Complaint · F609 · Corrected September 21, 2026

  2. D

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

    May 11, 2026 · Complaint · F609 · Corrected July 1, 2026

  3. D

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

    February 27, 2025 · Complaint · F607 · Corrected April 11, 2025

  4. D

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

    February 27, 2025 · Complaint · F609 · Corrected April 11, 2025

  5. D

    Respond appropriately to all alleged violations.

    February 27, 2025 · Complaint · F610 · Corrected April 11, 2025

  6. D

    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.

    December 11, 2019 · Standard · F608 · Corrected January 21, 2020

  7. D

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

    December 11, 2019 · Standard · F609 · Corrected January 21, 2020

Pharmacy Service7E
  1. D

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

    July 31, 2026 · Complaint · F757 · Corrected September 21, 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.

    July 31, 2026 · Complaint · F761 · Corrected September 21, 2026

  3. E

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

    December 11, 2019 · Standard · F756 · Corrected January 21, 2020

  4. D

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

    December 11, 2019 · Standard · F755 · Corrected January 21, 2020

  5. D

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

    December 11, 2019 · Standard · F757 · Corrected January 21, 2020

  6. D

    Ensure medication error rates are not 5 percent or greater.

    December 11, 2019 · Standard · F759 · Corrected January 21, 2020

  7. 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.

    December 11, 2019 · Standard · F761 · Corrected January 21, 2020

Administration7E
  1. E

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    February 27, 2025 · Standard · F868 · Corrected April 11, 2025

  2. E

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    February 27, 2025 · Standard · F941 · Corrected April 11, 2025

  3. E

    Provide training in compliance and ethics.

    February 27, 2025 · Standard · F946 · Corrected April 11, 2025

  4. D

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    February 27, 2025 · Standard · F850 · Corrected April 11, 2025

  5. D

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    February 27, 2025 · Standard · F949 · Corrected April 11, 2025

  6. 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.

    February 27, 2025 · Standard · F838 · Corrected April 11, 2025

  7. D

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    December 11, 2019 · Standard · F770 · Corrected January 21, 2020

Nursing and Physician Services5D
  1. D

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

    May 11, 2026 · Standard · F730 · Corrected July 1, 2026

  2. D

    Post nurse staffing information every day.

    May 11, 2026 · Standard · F732 · Corrected July 1, 2026

  3. D

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

    February 27, 2025 · Standard · F947 · Corrected April 11, 2025

  4. D

    Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.

    December 11, 2019 · Standard · F714 · Corrected January 21, 2020

  5. C

    Post nurse staffing information every day.

    December 11, 2019 · Standard · F732 · Corrected January 21, 2020

Environmental3E
  1. D

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

    February 27, 2025 · Standard · F921 · Corrected April 11, 2025

  2. E

    Keep all essential equipment working safely.

    December 11, 2019 · Standard · F908 · Corrected January 21, 2020

  3. D

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

    December 11, 2019 · Standard · F921 · Corrected January 21, 2020

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    February 27, 2025 · Standard · F880 · Corrected April 11, 2025

  2. D

    Provide and implement an infection prevention and control program.

    December 11, 2019 · Standard · F880 · Corrected January 21, 2020

Inspection history

  1. 2026-05-11

    26 health deficiencies · 7 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (7 deficiencies)

  2. 2025-02-27

    34 health deficiencies · 13 fire-safety deficiencies

    Top issue: Quality of Life and Care (9 deficiencies)

  3. 2019-12-11

    34 health deficiencies · 11 fire-safety deficiencies

    Top issue: Resident Rights (8 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 33 min of nursing staff time a day, 51 min of it from a registered nurse.

This home

3 h 33 min

Maryland average

3 h 56 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 45% of nursing staff and 16% of registered nurses left in the past year, along with 2 administrators.

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

5

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 worse1.81.31.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse1.91.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.2 pts worse92.9%93.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better96.7%96.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better2.0%2.5%3.2%
Percentage of long-stay residents who have depressive symptoms8.3 pts worse32.1%23.8%13.5%
Percentage of long-stay residents who lose too much weight0.2 pts better5.2%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7 pts better9.8%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.6 pts better3.5%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 worsened6.9 pts worse26.8%19.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.1 pts worse25.7%19.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.3%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.7 pts better0.7%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts worse28.3%24.2%18.3%
Percentage of long-stay residents with pressure ulcers0.5 pts better5.2%5.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.9 pts better81.6%79.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.1 pts worse9.5%9.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better0.7%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.4 pts better83.7%81.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.8 pts worse21.0%20.2%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
7355 Furnace Branch Road East Holdco LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
A&R Stern Family Md7 LLC5% Or Greater Indirect Ownership Interest · Organization100%6 facilities
Accurate Staffing LLCAdp Of The SNF · Organization0%42 facilities
Brand Sonnenschine LlpAdp Of The SNF · Organization0%63 facilities
Jones, AlphonsonOperational/Managerial Control · Individual0%1 facilities
Jones, AlphonsonAdp Of The SNF · Individual0%1 facilities
Schwartz, MarkCorporate Officer · Individual0%56 facilities
Schwartz, MarkOperational/Managerial Control · Individual0%56 facilities
Stern, AryehIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%41 facilities
Tavakoli-Jalili, NaderOperational/Managerial Control · Individual0%8 facilities
Tavakoli-Jalili, NaderAdp Of The SNF · Individual0%8 facilities

·

Fire safety

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

Smoke11F
  1. F

    Provide properly protected cooking facilities.

    May 11, 2026 · K324 · Corrected July 31, 2026

  2. F

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

    May 11, 2026 · K345 · Corrected July 31, 2026

  3. E

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

    May 11, 2026 · K362 · Corrected July 31, 2026

  4. D

    Install corridor and hallway doors that block smoke.

    May 11, 2026 · K363 · Corrected July 31, 2026

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 27, 2025 · K353 · Corrected April 30, 2025

  6. E

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

    February 27, 2025 · K355 · Corrected April 30, 2025

  7. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    February 27, 2025 · K321 · Corrected April 30, 2025

  8. D

    Install an approved automatic sprinkler system.

    February 27, 2025 · K351 · Corrected April 30, 2025

  9. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    February 27, 2025 · K374 · Corrected April 30, 2025

  10. E

    Provide properly protected cooking facilities.

    December 11, 2019 · K324 · Corrected December 7, 2019

  11. E

    Inspect, test, and maintain automatic sprinkler systems.

    December 11, 2019 · K353 · Corrected December 7, 2019

Egress7F
  1. F

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

    May 11, 2026 · K223 · Corrected July 31, 2026

  2. D

    Have properly located and lighted "Exit" signs.

    May 11, 2026 · K293 · Corrected July 31, 2026

  3. 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.

    February 27, 2025 · K222 · Corrected April 30, 2025

  4. E

    Have correct number of accessible exits for each story.

    December 11, 2019 · K241 · Corrected December 7, 2019

  5. D

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

    December 11, 2019 · K223 · Corrected December 7, 2019

  6. D

    Have exits that are accessible at all times.

    December 11, 2019 · K271 · Corrected December 7, 2019

  7. D

    Meet other general requirements that are deficient.

    December 11, 2019 · K300 · Corrected December 7, 2019

Gas, Vacuum, and Electrical Systems5F
  1. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    February 27, 2025 · K914 · Corrected April 30, 2025

  2. F

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

    February 27, 2025 · K918 · Corrected April 30, 2025

  3. E

    Ensure that testing and maintenance of electrical equipment is performed.

    December 11, 2019 · K921 · Corrected December 7, 2019

  4. D

    Meet requirements for the installation and maintenance of electrical systems.

    December 11, 2019 · K911 · Corrected December 7, 2019

  5. D

    Have proper medical gas storage and administration areas.

    December 11, 2019 · K923 · Corrected December 7, 2019

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    May 11, 2026 · K712 · Corrected July 31, 2026

  2. F

    Have simulated fire drills held at unexpected times.

    February 27, 2025 · K712 · Corrected April 30, 2025

  3. F

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

    February 27, 2025 · K761 · Corrected April 30, 2025

Services3E
  1. E

    Have properly installed electrical wiring and gas equipment.

    February 27, 2025 · K511 · Corrected April 30, 2025

  2. E

    Install properly constructed and protected linen or trash chutes.

    February 27, 2025 · K541 · Corrected April 30, 2025

  3. D

    Install properly constructed and protected linen or trash chutes.

    December 11, 2019 · K541 · Corrected December 7, 2019

Emergency Preparedness2F
  1. F

    Develop and maintain an Emergency Preparedness Program (EP).

    February 27, 2025 · E4 · Corrected April 30, 2025

  2. D

    List the names and contact information of those in the facility.

    December 11, 2019 · E30 · Corrected December 7, 2019

·

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