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

Bluebird Wellness And Rehabilitation

9350 Green Park Road, Saint Louis, MO · (314) 845-0900

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
188
Residents per day
156
Ownership
For-Profit
Chain
Opco Skilled Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 21, 2000

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 Missouri.

  2. Staffing

    no change (already 1)

    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.

2

Where it sits among Missouri homes

Bluebird Wellness And Rehabilitation carries 202.5 inspection points. That is fewer than 11% of Missouri's 479 rated homes.

5★4★3★2★1★+15 homes above 391.2505102550100200inspection points → fewer is better on the leftThis home · 202.5 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: 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★ 0–20 pts
  • 4★ 20–54 pts
  • 3★ 54–93.75 pts
  • 2★ 93.75–159 pts
  • 1★ over 159 pts

Bars show every rated home in Missouri 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

75 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 3 50 pts
K 1 100 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 39 4 pts
E 27 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 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 (8)

  1. J

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

    October 15, 2024 · Complaint inspection · Quality of Life and Care · F686 · Corrected November 21, 2024

  2. J

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

    August 27, 2024 · Complaint inspection · Quality of Life and Care · F686 · Corrected November 21, 2024

  3. G

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

    August 27, 2024 · Complaint inspection · Quality of Life and Care · F684 · Corrected October 9, 2024

  4. G

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

    August 27, 2024 · Complaint inspection · Quality of Life and Care · F695 · Corrected September 1, 2024

  5. K

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

    July 12, 2024 · Complaint inspection · Quality of Life and Care · F686 · Corrected November 21, 2024

  6. J

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

    June 18, 2024 · Complaint inspection · Quality of Life and Care · F686 · Corrected November 21, 2024

  7. G

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

    June 18, 2024 · Complaint inspection · Quality of Life and Care · F684 · Corrected October 9, 2024

  8. G

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

    June 18, 2024 · Complaint inspection · Quality of Life and Care · F695 · Corrected September 1, 2024

Everything else, by area of care

Resident Assessment and Care Planning14E
  1. E

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

    August 19, 2026 · Complaint · F842 · Corrected August 20, 2026

  2. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    August 8, 2025 · Complaint · F644 · Corrected September 10, 2025

  3. D

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

    August 8, 2025 · Standard · F658 · Corrected September 10, 2025

  4. D

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

    March 26, 2025 · Complaint · F658 · Corrected April 21, 2025

  5. D

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

    August 27, 2024 · Complaint · F658 · Corrected September 1, 2024

  6. D

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

    August 27, 2024 · Complaint · F842 · Corrected September 1, 2024

  7. D

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

    July 12, 2024 · Complaint · F842 · Corrected September 1, 2024

  8. E

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

    June 18, 2024 · Complaint · F842 · Corrected September 1, 2024

  9. D

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

    June 18, 2024 · Complaint · F658 · Corrected September 1, 2024

  10. E

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

    February 13, 2024 · Standard · F656 · Corrected March 18, 2024

  11. E

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

    February 13, 2024 · Complaint · F658 · Corrected March 18, 2024

  12. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    February 13, 2024 · Standard · F645 · Corrected March 18, 2024

  13. E

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

    March 11, 2021 · Standard · F656 · Corrected April 16, 2021

  14. E

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

    March 11, 2021 · Standard · F658 · Corrected April 16, 2021

Quality of Life and Care13E
  1. D

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

    June 24, 2026 · Complaint · F684 · Corrected June 25, 2026

  2. D

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

    October 9, 2025 · Complaint · F689 · Not yet marked corrected

  3. E

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

    August 8, 2025 · Complaint · F689 · Corrected September 10, 2025

  4. D

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

    August 8, 2025 · Complaint · F684 · Corrected September 10, 2025

  5. D

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

    August 8, 2025 · Complaint · F698 · Corrected September 10, 2025

  6. E

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

    February 13, 2024 · Complaint · F677 · Corrected March 18, 2024

  7. E

    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.

    February 13, 2024 · Standard · F700 · Corrected March 18, 2024

  8. D

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

    February 13, 2024 · Complaint · F684 · Corrected July 23, 2023

  9. D

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

    February 13, 2024 · Complaint · F686 · Corrected July 23, 2023

  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.

    February 13, 2024 · Standard · F688 · Corrected March 18, 2024

  11. D

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

    February 13, 2024 · Standard · F692 · Corrected March 18, 2024

  12. E

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

    March 11, 2021 · Standard · F677 · Corrected April 16, 2021

  13. D

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

    March 11, 2021 · Standard · F689 · Corrected April 16, 2021

Pharmacy Service11E
  1. 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.

    August 8, 2025 · Standard · F761 · Corrected September 10, 2025

  2. D

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

    August 8, 2025 · Standard · F756 · Corrected September 10, 2025

  3. D

    Ensure that residents are free from significant medication errors.

    August 27, 2024 · Complaint · F760 · Corrected September 1, 2024

  4. D

    Ensure medication error rates are not 5 percent or greater.

    July 12, 2024 · Complaint · F759 · Corrected August 12, 2024

  5. E

    Ensure medication error rates are not 5 percent or greater.

    June 18, 2024 · Complaint · F759 · Corrected August 12, 2024

  6. D

    Ensure that residents are free from significant medication errors.

    June 18, 2024 · Complaint · F760 · Corrected September 1, 2024

  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.

    February 13, 2024 · Standard · F761 · Corrected March 18, 2024

  8. 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.

    February 13, 2024 · Standard · F758 · Corrected March 18, 2024

  9. D

    Ensure that residents are free from significant medication errors.

    February 13, 2024 · Complaint · F760 · Corrected March 18, 2024

  10. 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.

    March 11, 2021 · Standard · F761 · Corrected April 16, 2021

  11. D

    Ensure medication error rates are not 5 percent or greater.

    March 11, 2021 · Standard · F759 · Corrected April 16, 2021

Resident Rights11E
  1. D

    Honor the resident's right to manage his or her financial affairs.

    August 8, 2025 · Complaint · F567 · Corrected September 10, 2025

  2. E

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    February 13, 2024 · Standard · F568 · Corrected March 18, 2024

  3. E

    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 13, 2024 · Complaint · F585 · Corrected March 18, 2024

  4. D

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

    February 13, 2024 · Standard · F550 · Corrected April 9, 2024

  5. D

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

    February 13, 2024 · Complaint · F580 · Corrected March 18, 2024

  6. E

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    March 11, 2021 · Standard · F569 · Corrected April 16, 2021

  7. D

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

    March 11, 2021 · Standard · F550 · Corrected April 16, 2021

  8. D

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

    March 11, 2021 · Standard · F561 · Corrected April 16, 2021

  9. D

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

    March 11, 2021 · Standard · F580 · Corrected April 16, 2021

  10. 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.

    March 11, 2021 · Standard · F584 · Corrected April 16, 2021

  11. C

    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

    March 11, 2021 · Standard · F575 · Corrected April 16, 2021

Nutrition and Dietary5E
  1. D

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

    August 8, 2025 · Standard · F806 · Corrected September 10, 2025

  2. E

    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.

    February 13, 2024 · Standard · F803 · Corrected March 18, 2024

  3. E

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

    February 13, 2024 · Standard · F812 · Corrected March 18, 2024

  4. E

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

    March 11, 2021 · Standard · F806 · Corrected April 16, 2021

  5. E

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

    March 11, 2021 · Standard · F812 · Corrected April 16, 2021

Freedom from Abuse, Neglect, and Exploitation4E
  1. D

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

    October 15, 2024 · Complaint · F602 · Corrected September 17, 2024

  2. E

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

    February 13, 2024 · Standard · F607 · Corrected March 18, 2024

  3. D

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

    March 11, 2021 · Standard · F607 · Corrected April 16, 2021

  4. D

    Respond appropriately to all alleged violations.

    March 11, 2021 · Standard · F610 · Corrected April 16, 2021

Environmental4E
  1. E

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    February 13, 2024 · Standard · F909 · Corrected March 18, 2024

  2. E

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    March 11, 2021 · Standard · F909 · Corrected April 16, 2021

  3. E

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

    March 11, 2021 · Standard · F914 · Corrected April 16, 2021

  4. D

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    March 11, 2021 · Standard · F925 · Corrected April 16, 2021

Nursing and Physician Services3E
  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.

    August 27, 2024 · Complaint · F725 · Corrected September 1, 2024

  2. E

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

    June 18, 2024 · Complaint · F725 · Corrected September 1, 2024

  3. 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.

    March 11, 2021 · Standard · F726 · Corrected April 16, 2021

Administration1D
  1. D

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

    March 26, 2025 · Complaint · F770 · Corrected April 21, 2025

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    March 26, 2025 · Complaint · F880 · Corrected April 30, 2025

Inspection history

  1. 2025-08-08

    12 health deficiencies · 14 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  2. 2024-02-13

    25 health deficiencies · 10 fire-safety deficiencies

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

  3. 2021-03-11

    38 health deficiencies · 6 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 3 h 6 min of nursing staff time a day, 13 min of it from a registered nurse.

This home

3 h 6 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 61% of nursing staff and 67% 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

$234,836 in federal fines on record over the past three years.

DatePenaltyAmount
2024-06-18Fine$234,836
2024-06-18Payment Denial · 99 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 days0.2 pts worse2.22.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better1.02.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.5 pts worse73.5%84.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.2 pts better96.0%90.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better3.7%4.0%3.2%
Percentage of long-stay residents who have depressive symptoms3.5 pts worse23.5%20.0%13.5%
Percentage of long-stay residents who lose too much weight0.3 pts better4.8%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7.4 pts better18.2%25.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.3 pts better21.2%23.5%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 worsened11.3 pts better4.5%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased10.4 pts better7.0%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better0.1%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection2 pts better0.2%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts worse17.9%17.1%18.3%
Percentage of long-stay residents with pressure ulcers0.3 pts worse4.7%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine39.8 pts worse25.9%65.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4 pts worse17.4%13.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better2.0%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.2 pts worse58.2%61.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission16 pts better9.7%25.7%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Wildflower Healthcare LLC5% Or Greater Direct Ownership Interest · Organization100%5 facilities
9350 Green Park Road Mo LLC5% Or Greater Mortgage Interest · Organization0%1 facilities
9350 Green Park Road Mo LLCAdp Of The SNF · Organization0%1 facilities
Amin, IqbalOperational/Managerial Control · Individual0%5 facilities
Amin, IqbalAdp Of The SNF · Individual0%5 facilities
Blooming Willow Partners LLC5% Or Greater Indirect Ownership Interest · Organization0%5 facilities
Brook Partners LLC5% Or Greater Mortgage Interest · Organization0%4 facilities
Brook Partners LLCAdp Of The SNF · Organization0%4 facilities
Davidovich, Niv5% Or Greater Indirect Ownership Interest · Individual0%26 facilities
Derhoben Trust5% Or Greater Indirect Ownership Interest · Organization0%5 facilities
Garetz, DavidIndirect Ownership Interest · Individual0%72 facilities
Garetz, DavidOperational/Managerial Control · Individual0%72 facilities
Garetz, DavidAdp Of The SNF · Individual0%72 facilities
Hagins, Elizabeth5% Or Greater Mortgage Interest · Individual0%57 facilities
Kaplan, Mordechai5% Or Greater Mortgage Interest · Individual0%42 facilities
Knobel Realty Trust5% Or Greater Mortgage Interest · Organization0%4 facilities
Knobel Realty TrustAdp Of The SNF · Organization0%4 facilities
Linz Trust5% Or Greater Mortgage Interest · Organization0%11 facilities
Linz TrustAdp Of The SNF · Organization0%11 facilities
Lutz, HaroldOperational/Managerial Control · Individual0%2 facilities
Lutz, HaroldAdp Of The SNF · Individual0%2 facilities
Mindle, Adam5% Or Greater Mortgage Interest · Individual0%58 facilities
Pas B Sol Trust5% Or Greater Indirect Ownership Interest · Organization0%5 facilities
Rembrandt Realty Trust5% Or Greater Mortgage Interest · Organization0%4 facilities
Rembrandt Realty TrustAdp Of The SNF · Organization0%4 facilities
Sesame Realty Trust5% Or Greater Mortgage Interest · Organization0%4 facilities
Sesame Realty TrustAdp Of The SNF · Organization0%4 facilities
Sternshein, Jennifer5% Or Greater Indirect Ownership Interest · Individual0%55 facilities
Willowbrook Investors LLC5% Or Greater Mortgage Interest · Organization0%3 facilities
Willowbrook Investors LLCAdp Of The SNF · Organization0%3 facilities
Zimmerman, Caroline5% Or Greater Mortgage Interest · Individual0%35 facilities

·

Fire safety

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

Smoke7F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 8, 2025 · K353 · Corrected September 22, 2025

  2. E

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

    August 8, 2025 · K355 · Corrected September 22, 2025

  3. E

    Install corridor and hallway doors that block smoke.

    August 8, 2025 · K363 · Corrected September 22, 2025

  4. E

    Inspect, test, and maintain automatic sprinkler systems.

    February 13, 2024 · K353 · Corrected March 25, 2024

  5. E

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

    February 13, 2024 · K355 · Corrected March 25, 2024

  6. E

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

    February 13, 2024 · K374 · Corrected March 25, 2024

  7. E

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

    March 11, 2021 · K321 · Corrected April 16, 2021

Egress6F
  1. F

    Install emergency lighting that can last at least 1 1/2 hours.

    August 8, 2025 · K291 · Corrected September 22, 2025

  2. E

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

    August 8, 2025 · K223 · Corrected September 22, 2025

  3. F

    Install emergency lighting that can last at least 1 1/2 hours.

    February 13, 2024 · K291 · Corrected March 25, 2024

  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.

    February 13, 2024 · K223 · Corrected March 25, 2024

  5. E

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

    March 11, 2021 · K211 · Corrected April 16, 2021

  6. E

    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.

    March 11, 2021 · K222 · Corrected April 16, 2021

Gas, Vacuum, and Electrical Systems6F
  1. F

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

    August 8, 2025 · K914 · Corrected September 22, 2025

  2. F

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

    August 8, 2025 · K918 · Corrected September 22, 2025

  3. E

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

    February 13, 2024 · K918 · Corrected March 25, 2024

  4. E

    Have proper medical gas storage and administration areas.

    February 13, 2024 · K923 · Corrected March 25, 2024

  5. E

    Meet requirements for the use of electrical equipment.

    March 11, 2021 · K919 · Corrected April 16, 2021

  6. E

    Have proper medical gas storage and administration areas.

    March 11, 2021 · K923 · Corrected April 16, 2021

Emergency Preparedness5F
  1. F

    Conduct testing and exercise requirements.

    August 8, 2025 · E39 · Corrected September 22, 2025

  2. F

    Develop and maintain an Emergency Preparedness Program (EP).

    August 8, 2025 · E4 · Corrected September 22, 2025

  3. F

    Implement emergency and standby power systems.

    August 8, 2025 · E41 · Corrected September 22, 2025

  4. F

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

    February 13, 2024 · E30 · Corrected March 25, 2024

  5. E

    Develop and maintain an Emergency Preparedness Program (EP).

    February 13, 2024 · E4 · Corrected April 9, 2024

Miscellaneous5F
  1. F

    Have simulated fire drills held at unexpected times.

    August 8, 2025 · K712 · Corrected September 22, 2025

  2. E

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

    August 8, 2025 · K741 · Corrected September 22, 2025

  3. E

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

    August 8, 2025 · K761 · Not yet marked corrected

  4. E

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

    February 13, 2024 · K741 · Corrected March 25, 2024

  5. E

    Have restrictions on the use of highly flammable decorations.

    March 11, 2021 · K753 · Corrected April 16, 2021

Services1E
  1. E

    Have properly installed electrical wiring and gas equipment.

    August 8, 2025 · K511 · Corrected September 22, 2025

·

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    Nursing / resident / day
    3 h 2 min
    Fines
    $0