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

Edith Lane of Cincinnati

2586 Lafeuille Avenue, Cincinnati, OH · (513) 662-2444

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
167
Residents per day
140
Ownership
For-Profit
Chain
Arcadia Care
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1967

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 Ohio.

  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

    +1 star

    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 Ohio homes

Edith Lane of Cincinnati carries 191 inspection points. That is fewer than 7% of Ohio's 913 rated homes.

5★4★3★2★1★+28 homes above 24805102550100200inspection points → fewer is better on the leftThis home · 191 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: 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★ 0–15 pts
  • 4★ 15–42 pts
  • 3★ 42–69 pts
  • 2★ 69–121.25 pts
  • 1★ over 121.25 pts

Bars show every rated home in Ohio 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

71 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 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 32 4 pts
E 24 8 pts
F 7 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 5 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 (3)

  1. G

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

    September 3, 2024 · Complaint inspection · Quality of Life and Care · F686 · Corrected November 18, 2024

  2. G

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

    June 21, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected July 6, 2024

  3. G

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

    December 1, 2022 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected January 26, 2023

Everything else, by area of care

Resident Rights18E
  1. 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.

    March 19, 2026 · Complaint · F584 · Corrected April 17, 2026

  2. 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.

    June 12, 2025 · Complaint · F584 · Corrected July 17, 2025

  3. 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.

    April 16, 2025 · Complaint · F584 · Corrected July 17, 2025

  4. D

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

    April 16, 2025 · Standard · F580 · Corrected June 1, 2025

  5. 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.

    January 30, 2025 · Complaint · F584 · Corrected January 31, 2025

  6. 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.

    January 23, 2024 · Complaint · F584 · Corrected January 30, 2024

  7. 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 1, 2022 · Standard · F584 · Corrected January 26, 2023

  8. D

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

    December 1, 2022 · Standard · F550 · Corrected January 26, 2023

  9. D

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

    December 1, 2022 · Standard · F623 · Corrected January 26, 2023

  10. C

    The resident has the right to receive notices in a format and a language he or she understands.

    December 1, 2022 · Standard · F574 · Corrected December 23, 2022

  11. C

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    December 1, 2022 · Standard · F576 · Corrected December 23, 2022

  12. C

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    December 1, 2022 · Standard · F577 · Corrected December 23, 2022

  13. C

    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.

    December 1, 2022 · Standard · F585 · Corrected December 23, 2022

  14. E

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

    October 28, 2019 · Standard · F582 · Corrected March 11, 2020

  15. E

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

    October 28, 2019 · Standard · F623 · Corrected March 11, 2020

  16. E

    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.

    October 28, 2019 · Standard · F625 · Corrected March 11, 2020

  17. D

    Reasonably accommodate the needs and preferences of each resident.

    October 28, 2019 · Standard · F558 · Corrected March 11, 2020

  18. D

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

    October 28, 2019 · Standard · F580 · Corrected March 11, 2020

Quality of Life and Care16E
  1. E

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

    March 19, 2026 · Complaint · F689 · Corrected April 17, 2026

  2. D

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

    April 16, 2025 · Standard · F685 · Corrected June 1, 2025

  3. D

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

    April 16, 2025 · Complaint · F689 · Corrected June 1, 2025

  4. 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.

    April 16, 2025 · Complaint · F690 · Corrected June 1, 2025

  5. D

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

    April 16, 2025 · Standard · F692 · Corrected June 1, 2025

  6. D

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

    October 30, 2024 · Complaint · F678 · Corrected November 18, 2024

  7. D

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

    October 23, 2024 · Complaint · F684 · Corrected November 18, 2024

  8. D

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

    October 23, 2024 · Complaint · F686 · Corrected November 18, 2024

  9. 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.

    September 3, 2024 · Complaint · F690 · Corrected October 23, 2024

  10. D

    Provide or get specialized rehabilitative services as required for a resident.

    September 3, 2024 · Complaint · F825 · Corrected October 23, 2024

  11. D

    Provide or get specialized rehabilitative services as required for a resident.

    June 21, 2024 · Complaint · F825 · Corrected July 6, 2024

  12. E

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

    December 1, 2022 · Standard · F689 · Corrected January 26, 2023

  13. E

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

    October 28, 2019 · Standard · F695 · Corrected March 11, 2020

  14. D

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

    October 28, 2019 · Standard · F684 · Corrected March 11, 2020

  15. D

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

    October 28, 2019 · Standard · F686 · Corrected March 11, 2020

  16. D

    Provide appropriate foot care.

    October 28, 2019 · Standard · F687 · Corrected March 11, 2020

Environmental8F
  1. F

    Keep all essential equipment working safely.

    March 19, 2026 · Complaint · F908 · Corrected April 17, 2026

  2. E

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

    December 24, 2025 · Complaint · F921 · Corrected January 23, 2026

  3. E

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

    June 12, 2025 · Complaint · F919 · Corrected July 17, 2025

  4. E

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

    April 16, 2025 · Complaint · F919 · Corrected July 17, 2025

  5. E

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

    January 30, 2025 · Complaint · F914 · Corrected January 31, 2025

  6. D

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

    September 3, 2024 · Complaint · F919 · Corrected October 23, 2024

  7. E

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

    December 1, 2022 · Standard · F919 · Corrected January 26, 2023

  8. E

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

    October 28, 2019 · Standard · F921 · Corrected March 11, 2020

Pharmacy Service6E
  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.

    April 16, 2025 · Standard · F761 · Corrected June 1, 2025

  2. D

    Ensure medication error rates are not 5 percent or greater.

    October 23, 2024 · Complaint · F759 · Corrected November 18, 2024

  3. E

    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.

    December 1, 2022 · Standard · F758 · Corrected January 26, 2023

  4. 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.

    December 1, 2022 · Standard · F761 · Corrected January 26, 2023

  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 28, 2019 · Standard · F761 · Corrected March 11, 2020

  6. D

    Ensure medication error rates are not 5 percent or greater.

    October 28, 2019 · Standard · F759 · Corrected March 11, 2020

Administration5F
  1. D

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    April 16, 2025 · Standard · F773 · Corrected June 1, 2025

  2. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    December 1, 2022 · Standard · F849 · Corrected January 26, 2023

  3. F

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

    October 28, 2019 · Standard · F850 · Corrected March 11, 2020

  4. F

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    October 28, 2019 · Standard · F867 · Corrected March 11, 2020

  5. F

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

    October 28, 2019 · Standard · F868 · Corrected March 11, 2020

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.

    April 16, 2025 · Standard · F812 · Corrected June 1, 2025

  2. D

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

    April 16, 2025 · Standard · F805 · Corrected June 1, 2025

  3. F

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

    December 1, 2022 · Standard · F812 · Corrected January 26, 2023

  4. E

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

    October 28, 2019 · Standard · F812 · Corrected March 11, 2020

Resident Assessment and Care Planning4E
  1. E

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

    April 16, 2025 · Standard · F657 · Corrected June 1, 2025

  2. E

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

    December 1, 2022 · Standard · F657 · Corrected January 26, 2023

  3. D

    Ensure each resident receives an accurate assessment.

    October 28, 2019 · Standard · F641 · Corrected March 11, 2020

  4. D

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

    October 28, 2019 · Standard · F656 · Corrected March 11, 2020

Freedom from Abuse, Neglect, and Exploitation4D
  1. D

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

    September 3, 2024 · Complaint · F600 · Corrected August 13, 2024

  2. C

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

    December 1, 2022 · Standard · F607 · Corrected December 23, 2022

  3. D

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

    October 28, 2019 · Standard · F607 · Corrected March 11, 2020

  4. D

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

    October 28, 2019 · Standard · F609 · Corrected March 11, 2020

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    April 16, 2025 · Standard · F880 · Corrected June 1, 2025

  2. D

    Provide and implement an infection prevention and control program.

    October 28, 2019 · Standard · F880 · Corrected March 11, 2020

Nursing and Physician Services1F
  1. F

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

    December 1, 2022 · Standard · F730 · Corrected January 26, 2023

Inspection history

  1. 2025-04-16

    17 health deficiencies · 19 fire-safety deficiencies

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

  2. 2022-12-01

    25 health deficiencies · 21 fire-safety deficiencies

    Top issue: Resident Rights (9 deficiencies)

  3. 2019-10-28

    29 health deficiencies · 17 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 3 h 25 min of nursing staff time a day, 27 min of it from a registered nurse.

This home

3 h 25 min

Ohio average

3 h 43 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

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

5

Fines and payment denials

$159,338 in federal fines on record over the past three years.

DatePenaltyAmount
2025-04-16Payment Denial · 1 day denial$0
2024-09-03Fine$119,655
2024-09-03Payment Denial · 51 day denial$0
2024-06-21Fine$39,683

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 days1 pts better0.71.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better0.91.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine46.9 pts worse45.8%92.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine38.8 pts worse54.9%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts better0.8%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms0.2 pts better31.4%31.6%13.5%
Percentage of long-stay residents who lose too much weight0.4 pts worse6.5%6.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts worse29.8%25.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.4 pts worse18.9%8.5%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 worsened4.8 pts better0.5%5.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.4 pts better0.6%5.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same0.2%0.2%0.7%
Percentage of long-stay residents with a urinary tract infectionAbout the same0.4%0.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.8 pts better11.1%20.9%18.3%
Percentage of long-stay residents with pressure ulcers0.7 pts better2.5%3.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine73.4 pts worse5.0%78.4%82.3%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine73 pts worse3.4%76.4%80.1%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Arcadia Care Management LLCOperational/Managerial Control · Organization0%25 facilities
Arcadia Care Management LLCAdp Of The SNF · Organization0%25 facilities
Curis Services LLCAdp Of The SNF · Organization0%98 facilities
Gruman, AaronIndirect Ownership Interest · Individual0%3 facilities
Gruman, AaronAdp Of The SNF · Individual0%3 facilities
Hunter, RachelOperational/Managerial Control · Individual0%9 facilities
Hunter, RachelAdp Of The SNF · Individual0%9 facilities
Jennings, MoniqueManaging Control - Governing Body · Individual0%1 facilities
Jennings, MoniqueOperational/Managerial Control · Individual0%1 facilities
Jennings, MoniqueAdp Of The SNF · Individual0%1 facilities
Mcclure, MichelleOperational/Managerial Control · Individual0%25 facilities
Mcclure, MichelleAdp Of The SNF · Individual0%25 facilities
Romanello, DanielOperational/Managerial Control · Individual0%1 facilities
Romanello, DanielAdp Of The SNF · Individual0%1 facilities
Seitler, DovidOperational/Managerial Control · Individual0%37 facilities
Seitler, DovidAdp Of The SNF · Individual0%37 facilities
Spector, JenniferOperational/Managerial Control · Individual0%105 facilities
Spector, JenniferAdp Of The SNF · Individual0%105 facilities
Turofsky, StevenOperational/Managerial Control · Individual0%102 facilities
Turofsky, StevenAdp Of The SNF · Individual0%102 facilities
Wilhelm, NaftaliOperational/Managerial Control · Individual0%97 facilities
Wilhelm, NaftaliAdp Of The SNF · Individual0%97 facilities
Yg Fh Holdings, LLCDirect Ownership Interest · Organization0%1 facilities

·

Fire safety

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

Smoke20F
  1. F

    Provide properly protected cooking facilities.

    April 16, 2025 · K324 · Corrected July 17, 2025

  2. F

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

    April 16, 2025 · K345 · Corrected July 17, 2025

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 16, 2025 · K353 · Corrected July 17, 2025

  4. F

    Install corridor and hallway doors that block smoke.

    April 16, 2025 · K363 · Corrected July 17, 2025

  5. E

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

    April 16, 2025 · K341 · Corrected July 17, 2025

  6. F

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    January 18, 2024 · K346 · Corrected January 30, 2024

  7. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 18, 2024 · K353 · Corrected January 30, 2024

  8. F

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    January 18, 2024 · K354 · Corrected January 30, 2024

  9. F

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

    December 1, 2022 · K345 · Corrected February 21, 2023

  10. F

    Inspect, test, and maintain automatic sprinkler systems.

    December 1, 2022 · K353 · Corrected January 24, 2023

  11. E

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

    December 1, 2022 · K321 · Corrected January 24, 2023

  12. E

    Provide properly protected cooking facilities.

    December 1, 2022 · K324 · Corrected January 24, 2023

  13. E

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

    December 1, 2022 · K341 · Corrected January 24, 2023

  14. E

    Install an approved automatic sprinkler system.

    December 1, 2022 · K351 · Corrected January 24, 2023

  15. E

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

    December 1, 2022 · K372 · Corrected February 21, 2023

  16. F

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

    October 28, 2019 · K321 · Corrected March 11, 2020

  17. F

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

    October 28, 2019 · K345 · Corrected March 11, 2020

  18. F

    Inspect, test, and maintain automatic sprinkler systems.

    October 28, 2019 · K353 · Corrected March 11, 2020

  19. F

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

    October 28, 2019 · K355 · Corrected March 11, 2020

  20. F

    Install corridor and hallway doors that block smoke.

    October 28, 2019 · K363 · Corrected March 11, 2020

Egress9F
  1. F

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

    April 16, 2025 · K291 · Corrected June 12, 2025

  2. E

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

    April 16, 2025 · K211 · Corrected June 12, 2025

  3. F

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

    December 1, 2022 · K211 · Corrected January 24, 2023

  4. F

    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.

    December 1, 2022 · K222 · Corrected February 21, 2023

  5. F

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

    December 1, 2022 · K291 · Corrected February 21, 2023

  6. E

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

    December 1, 2022 · K223 · Corrected February 21, 2023

  7. E

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    December 1, 2022 · K225 · Corrected January 24, 2023

  8. F

    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.

    October 28, 2019 · K222 · Corrected March 11, 2020

  9. F

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

    October 28, 2019 · K291 · Corrected March 11, 2020

Miscellaneous9F
  1. F

    Have simulated fire drills held at unexpected times.

    April 16, 2025 · K712 · Corrected June 12, 2025

  2. F

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

    April 16, 2025 · K761 · Corrected July 17, 2025

  3. E

    Have restrictions on the use of portable space heaters.

    April 16, 2025 · K781 · Corrected June 12, 2025

  4. F

    Have simulated fire drills held at unexpected times.

    January 18, 2024 · K712 · Corrected January 30, 2024

  5. F

    Provide a written emergency evacuation plan.

    December 1, 2022 · K711 · Corrected January 24, 2023

  6. F

    Have simulated fire drills held at unexpected times.

    December 1, 2022 · K712 · Corrected January 24, 2023

  7. E

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

    December 1, 2022 · K741 · Corrected February 21, 2023

  8. F

    Have simulated fire drills held at unexpected times.

    October 28, 2019 · K712 · Corrected March 11, 2020

  9. F

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

    October 28, 2019 · K761 · Corrected March 11, 2020

Gas, Vacuum, and Electrical Systems8F
  1. F

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

    April 16, 2025 · K918 · Corrected July 17, 2025

  2. E

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

    April 16, 2025 · K916 · Corrected July 17, 2025

  3. F

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

    December 1, 2022 · K916 · Corrected January 24, 2023

  4. F

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

    December 1, 2022 · K918 · Corrected February 21, 2023

  5. E

    Ensure proper usage of power strips and extension cords.

    December 1, 2022 · K920 · Corrected January 24, 2023

  6. E

    Have proper medical gas storage and administration areas.

    December 1, 2022 · K923 · Corrected January 24, 2023

  7. F

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

    October 28, 2019 · K918 · Corrected March 11, 2020

  8. F

    Ensure proper usage of power strips and extension cords.

    October 28, 2019 · K920 · Corrected March 11, 2020

Services6F
  1. F

    Have elevators that firefighters can control in the event of a fire.

    April 16, 2025 · K531 · Corrected June 12, 2025

  2. E

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

    April 16, 2025 · K521 · Corrected July 17, 2025

  3. F

    Have properly installed electrical wiring and gas equipment.

    December 1, 2022 · K511 · Corrected February 21, 2023

  4. F

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

    December 1, 2022 · K521 · Corrected February 21, 2023

  5. F

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

    October 28, 2019 · K521 · Corrected March 11, 2020

  6. E

    Have properly installed electrical wiring and gas equipment.

    October 28, 2019 · K511 · Corrected March 11, 2020

Emergency Preparedness5F
  1. F

    Create arrangements with other facilities to receive patients.

    April 16, 2025 · E25 · Corrected July 17, 2025

  2. F

    Establish staff and initial training requirements.

    April 16, 2025 · E37 · Corrected July 17, 2025

  3. F

    Conduct testing and exercise requirements.

    April 16, 2025 · E39 · Corrected July 17, 2025

  4. F

    Develop and maintain an Emergency Preparedness Program (EP).

    April 16, 2025 · E4 · Corrected July 17, 2025

  5. F

    Address patient/client population and determine types of services needed.

    April 16, 2025 · E7 · Corrected July 17, 2025

·

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