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

Bria Of Westmont

6501 South Cass, Westmont, IL · (630) 960-2026

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
215
Residents per day
185
Ownership
For-Profit
Chain
Bria Health Services
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 17, 1980

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 Illinois.

  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 Illinois homes

Bria Of Westmont carries 252 inspection points. That is fewer than 15% of Illinois's 659 rated homes.

5★4★3★2★1★+20 homes above 459.7505102550100200400inspection points → fewer is better on the leftThis home · 252 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: 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★ 0–31 pts
  • 4★ 31–73 pts
  • 3★ 73–120.25 pts
  • 2★ 120.25–219 pts
  • 1★ over 219 pts

Bars show every rated home in Illinois 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

77 health citations on record since 2023. 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 10 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 42 4 pts
E 19 8 pts
F 6 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 (10)

  1. G

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

    August 18, 2026 · Complaint inspection · Quality of Life and Care · F692 · Corrected August 20, 2026

  2. G

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    August 1, 2026 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F604 · Corrected August 4, 2026

  3. G

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

    January 28, 2026 · Complaint inspection · Quality of Life and Care · F684 · Corrected January 29, 2026

  4. G

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

    January 28, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected January 29, 2026

  5. G

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

    May 22, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected May 23, 2024

  6. G

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

    April 26, 2024 · Complaint inspection · Quality of Life and Care · F684 · Corrected April 27, 2024

  7. G

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

    April 19, 2024 · Complaint inspection · Pharmacy Service · F755 · Corrected April 20, 2024

  8. G

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

    January 17, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected January 18, 2024

  9. G

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

    January 17, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected January 18, 2024

  10. G

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

    November 14, 2023 · Complaint inspection · Quality of Life and Care · F689 · Corrected November 15, 2023

Everything else, by area of care

Quality of Life and Care34E
  1. D

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

    August 18, 2026 · Complaint · F684 · Corrected August 20, 2026

  2. D

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

    January 28, 2026 · Complaint · F677 · Corrected January 29, 2026

  3. E

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

    January 4, 2026 · Complaint · F677 · Corrected January 5, 2026

  4. E

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

    December 10, 2025 · Complaint · F677 · Corrected December 17, 2025

  5. E

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

    November 21, 2025 · Standard · F689 · Corrected November 28, 2025

  6. D

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

    November 21, 2025 · Standard · F677 · Corrected December 17, 2025

  7. 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.

    November 21, 2025 · Standard · F688 · Corrected November 28, 2025

  8. D

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

    November 21, 2025 · Standard · F692 · Corrected November 28, 2025

  9. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    November 21, 2025 · Standard · F693 · Corrected November 28, 2025

  10. D

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    November 21, 2025 · Standard · F745 · Corrected November 28, 2025

  11. D

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

    August 27, 2025 · Complaint · F677 · Corrected August 28, 2025

  12. D

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

    May 29, 2025 · Complaint · F689 · Corrected June 2, 2025

  13. D

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

    March 19, 2025 · Complaint · F677 · Corrected March 21, 2025

  14. D

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    March 19, 2025 · Complaint · F745 · Corrected March 21, 2025

  15. D

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

    January 16, 2025 · Complaint · F677 · Corrected January 18, 2025

  16. D

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

    October 20, 2024 · Complaint · F684 · Corrected October 21, 2024

  17. D

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

    October 3, 2024 · Complaint · F684 · Corrected October 4, 2024

  18. D

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

    October 3, 2024 · Complaint · F686 · Corrected October 4, 2024

  19. E

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

    September 26, 2024 · Standard · F677 · Corrected September 30, 2024

  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.

    September 26, 2024 · Standard · F688 · Corrected September 30, 2024

  21. D

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

    September 26, 2024 · Standard · F697 · Corrected September 30, 2024

  22. D

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

    August 28, 2024 · Complaint · F684 · Corrected August 29, 2024

  23. E

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

    July 2, 2024 · Complaint · F689 · Corrected July 3, 2024

  24. D

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

    June 20, 2024 · Complaint · F695 · Corrected June 21, 2024

  25. D

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

    May 22, 2024 · Complaint · F698 · Corrected May 23, 2024

  26. D

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

    December 19, 2023 · Complaint · F677 · Corrected December 20, 2023

  27. D

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

    December 8, 2023 · Complaint · F686 · Corrected December 13, 2023

  28. D

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

    November 30, 2023 · Complaint · F677 · Corrected December 20, 2023

  29. D

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

    November 30, 2023 · Complaint · F686 · Corrected December 13, 2023

  30. D

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

    November 1, 2023 · Complaint · F677 · Corrected December 20, 2023

  31. E

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

    October 27, 2023 · Complaint · F677 · Corrected December 20, 2023

  32. E

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

    October 27, 2023 · Standard · F689 · Corrected November 15, 2023

  33. 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, 2023 · Complaint · F690 · Corrected October 31, 2023

  34. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    October 27, 2023 · Complaint · F693 · Corrected October 31, 2023

Nutrition and Dietary9F
  1. D

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

    May 18, 2026 · Complaint · F806 · Corrected May 20, 2026

  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.

    December 10, 2025 · Complaint · F803 · Corrected December 17, 2025

  3. E

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

    December 10, 2025 · Complaint · F804 · Corrected December 17, 2025

  4. F

    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.

    November 21, 2025 · Standard · F801 · Corrected November 28, 2025

  5. F

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

    November 21, 2025 · Standard · F812 · Corrected November 28, 2025

  6. 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.

    September 26, 2024 · Standard · F803 · Corrected September 30, 2024

  7. E

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

    September 26, 2024 · Standard · F805 · Corrected September 30, 2024

  8. E

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    December 19, 2023 · Complaint · F809 · Corrected December 20, 2023

  9. F

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

    October 27, 2023 · Standard · F812 · Corrected October 31, 2023

Resident Rights7E
  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.

    May 29, 2026 · Complaint · F584 · Corrected June 2, 2026

  2. D

    Reasonably accommodate the needs and preferences of each resident.

    January 28, 2026 · Complaint · F558 · Corrected January 29, 2026

  3. D

    Reasonably accommodate the needs and preferences of each resident.

    November 21, 2025 · Standard · F558 · Corrected November 28, 2025

  4. 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.

    September 26, 2024 · Standard · F578 · Corrected September 30, 2024

  5. 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.

    April 26, 2024 · Complaint · F585 · Corrected April 27, 2024

  6. 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.

    January 17, 2024 · Complaint · F584 · Corrected January 18, 2024

  7. E

    Reasonably accommodate the needs and preferences of each resident.

    October 27, 2023 · Complaint · F558 · Corrected October 31, 2023

Pharmacy Service5E
  1. E

    Ensure that residents are free from significant medication errors.

    February 19, 2026 · Complaint · F760 · Corrected February 23, 2026

  2. 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.

    November 21, 2025 · Standard · F761 · Corrected November 28, 2025

  3. D

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

    September 12, 2025 · Complaint · F755 · Corrected September 13, 2025

  4. D

    Ensure that residents are free from significant medication errors.

    December 1, 2024 · Complaint · F760 · Corrected December 4, 2024

  5. 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 27, 2023 · Standard · F761 · Corrected October 31, 2023

Environmental4F
  1. F

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

    June 8, 2026 · Complaint · F921 · Corrected June 9, 2026

  2. F

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

    January 28, 2026 · Complaint · F925 · Corrected January 29, 2026

  3. D

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

    August 12, 2024 · Complaint · F921 · Corrected August 13, 2024

  4. E

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

    October 11, 2023 · Complaint · F921 · Corrected October 16, 2023

Resident Assessment and Care Planning4D
  1. D

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

    September 26, 2024 · Standard · F644 · Corrected September 30, 2024

  2. D

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

    September 26, 2024 · Standard · F657 · Corrected September 30, 2024

  3. D

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

    September 26, 2024 · Standard · F842 · Corrected September 30, 2024

  4. D

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

    November 1, 2023 · Complaint · F658 · Corrected January 5, 2024

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    October 20, 2024 · Complaint · F880 · Corrected October 21, 2024

  2. E

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    September 26, 2024 · Standard · F883 · Corrected September 30, 2024

  3. E

    Provide and implement an infection prevention and control program.

    October 27, 2023 · Standard · F880 · Corrected January 5, 2024

Administration1F
  1. F

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

    March 19, 2025 · Complaint · F850 · Corrected March 21, 2025

Inspection history

  1. 2025-11-21

    26 health deficiencies · 11 fire-safety deficiencies

    Top issue: Quality of Life and Care (13 deficiencies)

  2. 2024-09-26

    22 health deficiencies · 13 fire-safety deficiencies

    Top issue: Quality of Life and Care (11 deficiencies)

  3. 2023-10-27

    29 health deficiencies · 13 fire-safety deficiencies

    Top issue: Quality of Life and Care (17 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 25 min of nursing staff time a day, 37 min of it from a registered nurse.

This home

3 h 25 min

Illinois average

3 h 28 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 56% of nursing staff and 44% of registered nurses left in the past year.

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

$195,907 in federal fines on record over the past three years.

DatePenaltyAmount
2026-08-01Fine$56,000
2024-05-22Fine$14,050
2024-04-19Fine$12,035
2024-04-19Fine$14,050
2024-01-17Fine$23,647
2023-10-27Fine$76,125
2023-10-27Payment Denial · 35 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 days0.5 pts better1.62.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.4 pts worse81.1%90.5%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine40 pts worse51.7%91.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better2.5%3.0%3.2%
Percentage of long-stay residents who have depressive symptoms43.6 pts worse99.5%55.9%13.5%
Percentage of long-stay residents who lose too much weight1.3 pts better4.8%6.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.6 pts better17.8%18.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.7 pts better16.0%21.7%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7 pts better5.8%12.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.6 pts better4.4%13.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.6%0.8%0.7%
Percentage of long-stay residents with a urinary tract infection1.5 pts better0.0%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.8 pts better8.0%19.8%18.3%
Percentage of long-stay residents with pressure ulcers1.4 pts worse6.2%4.8%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.9 pts worse48.1%70.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3 pts better10.5%13.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better2.1%2.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.3 pts worse48.9%63.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.6 pts better21.0%25.6%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Robinson, Miriam5% Or Greater Direct Ownership Interest · Individual20%1 facilities
Weinfeld, Dvorah5% Or Greater Direct Ownership Interest · Individual20%7 facilities
Weiss, Rebecca5% Or Greater Direct Ownership Interest · Individual20%3 facilities
Boulton, KimW-2 Managing Employee · Individual0%3 facilities

·

Fire safety

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

Smoke20F
  1. F

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

    November 21, 2025 · K345 · Corrected December 13, 2025

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    November 21, 2025 · K353 · Corrected December 12, 2025

  3. E

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

    November 21, 2025 · K321 · Corrected December 15, 2025

  4. E

    Install a fire alarm system that can be heard throughout the facility.

    November 21, 2025 · K341 · Corrected December 13, 2025

  5. E

    Install an approved automatic sprinkler system.

    November 21, 2025 · K351 · Corrected December 19, 2025

  6. E

    Install corridor and hallway doors that block smoke.

    November 21, 2025 · K363 · Corrected December 12, 2025

  7. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    November 21, 2025 · K372 · Corrected December 13, 2025

  8. F

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

    September 26, 2024 · K345 · Corrected October 15, 2024

  9. F

    Inspect, test, and maintain automatic sprinkler systems.

    September 26, 2024 · K353 · Corrected October 9, 2024

  10. E

    Provide properly protected cooking facilities.

    September 26, 2024 · K324 · Corrected October 4, 2024

  11. E

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

    September 26, 2024 · K362 · Corrected October 4, 2024

  12. E

    Install corridor and hallway doors that block smoke.

    September 26, 2024 · K363 · Corrected October 4, 2024

  13. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    September 26, 2024 · K372 · Corrected October 4, 2024

  14. F

    Have an enclosure around a vertical opening shaft.

    October 27, 2023 · K311 · Corrected November 8, 2023

  15. F

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

    October 27, 2023 · K345 · Corrected November 17, 2023

  16. F

    Inspect, test, and maintain automatic sprinkler systems.

    October 27, 2023 · K353 · Corrected November 8, 2023

  17. E

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

    October 27, 2023 · K321 · Corrected November 3, 2023

  18. E

    Install an approved automatic sprinkler system.

    October 27, 2023 · K351 · Corrected November 6, 2023

  19. E

    Install corridor and hallway doors that block smoke.

    October 27, 2023 · K363 · Corrected November 6, 2023

  20. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    October 27, 2023 · K372 · Corrected November 6, 2023

Gas, Vacuum, and Electrical Systems6F
  1. E

    Ensure proper usage of power strips and extension cords.

    November 21, 2025 · K920 · Corrected December 13, 2025

  2. E

    Ensure proper usage of power strips and extension cords.

    September 26, 2024 · K920 · Corrected October 4, 2024

  3. E

    Have proper medical gas storage and administration areas.

    September 26, 2024 · K923 · Corrected October 4, 2024

  4. F

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

    October 27, 2023 · K918 · Corrected November 20, 2023

  5. E

    Ensure proper usage of power strips and extension cords.

    October 27, 2023 · K920 · Corrected November 13, 2023

  6. E

    Ensure proper storage of liquid oxygen.

    October 27, 2023 · K930 · Corrected November 8, 2023

Miscellaneous4F
  1. F

    Have simulated fire drills held at unexpected times.

    November 21, 2025 · K712 · Corrected December 13, 2025

  2. F

    Have simulated fire drills held at unexpected times.

    September 26, 2024 · K712 · Corrected October 4, 2024

  3. E

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

    September 26, 2024 · K741 · Corrected October 4, 2024

  4. E

    Have restrictions on the use of portable space heaters.

    September 26, 2024 · K781 · Corrected October 4, 2024

Services3F
  1. E

    Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.

    November 21, 2025 · K524 · Corrected December 15, 2025

  2. E

    Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.

    September 26, 2024 · K524 · Corrected October 4, 2024

  3. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    October 27, 2023 · K521 · Corrected November 6, 2023

Emergency Preparedness2F
  1. F

    Establish policies and procedures for sheltering.

    October 27, 2023 · E22 · Corrected November 17, 2023

  2. F

    Establish staff and initial training requirements.

    October 27, 2023 · E37 · Corrected November 17, 2023

Egress1E
  1. E

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

    November 21, 2025 · K211 · Corrected December 14, 2025

Construction1E
  1. E

    Install a two-hour-resistant firewall separation.

    September 26, 2024 · K133 · Corrected October 4, 2024

·

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