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

Harbor Villa Care Center

861 S. Harbor Blvd, Anaheim, CA · (714) 635-8131

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
99
Residents per day
90
Ownership
For-Profit
Chain
Cambridge Healthcare Services
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 1, 1967

1

How this home got 3 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 California.

  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

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among California homes

Harbor Villa Care Center carries 108 inspection points. That is fewer than 35% of California's 1,154 rated homes.

5★4★3★2★1★+35 homes above 300.2505102550100200inspection points → fewer is better on the leftThis home · 108 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: 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★ 0–33 pts
  • 4★ 33–66 pts
  • 3★ 66–96 pts
  • 2★ 96–146 pts
  • 1★ over 146 pts

Bars show every rated home in California 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

81 health citations on record since 2022. 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 1 150 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 60 4 pts
E 8 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 12 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 (1)

  1. L

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

    August 23, 2022 · Standard inspection · Quality of Life and Care · F689 · Corrected September 21, 2022

Everything else, by area of care

Quality of Life and Care21E
  1. E

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

    April 10, 2026 · Standard · F686 · Corrected May 10, 2026

  2. D

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

    April 10, 2026 · Standard · F684 · Corrected May 10, 2026

  3. D

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

    April 10, 2026 · Standard · F692 · Corrected May 10, 2026

  4. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    April 10, 2026 · Standard · F694 · Corrected May 10, 2026

  5. D

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

    April 10, 2026 · Standard · F695 · Corrected May 10, 2026

  6. D

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

    January 23, 2026 · Complaint · F689 · Corrected February 17, 2026

  7. D

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

    August 1, 2025 · Complaint · F689 · Corrected August 30, 2025

  8. D

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

    March 27, 2025 · Complaint · F684 · Corrected April 26, 2025

  9. D

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

    March 4, 2025 · Complaint · F684 · Corrected April 4, 2025

  10. D

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

    March 4, 2025 · Complaint · F686 · Corrected April 4, 2025

  11. D

    Provide activities to meet all resident's needs.

    January 10, 2025 · Standard · F679 · Corrected February 10, 2025

  12. D

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

    January 10, 2025 · Standard · F684 · Corrected February 10, 2025

  13. D

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

    January 10, 2025 · Standard · F695 · Corrected February 10, 2025

  14. D

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

    January 10, 2025 · Standard · F698 · Corrected February 10, 2025

  15. D

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

    June 5, 2024 · Complaint · F689 · Corrected June 28, 2024

  16. D

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

    February 12, 2024 · Complaint · F745 · Corrected February 26, 2024

  17. D

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

    October 30, 2023 · Complaint · F689 · Corrected November 8, 2023

  18. D

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

    August 23, 2022 · Standard · F684 · Corrected September 21, 2022

  19. D

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

    August 23, 2022 · Standard · F686 · Corrected September 21, 2022

  20. D

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

    August 23, 2022 · Standard · F697 · Corrected September 21, 2022

  21. 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.

    August 23, 2022 · Standard · F700 · Corrected September 21, 2022

Resident Rights16D
  1. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    April 10, 2026 · Standard · F552 · Corrected May 10, 2026

  2. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    April 10, 2026 · Standard · F554 · Corrected May 10, 2026

  3. 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.

    April 10, 2026 · Standard · F584 · Corrected May 10, 2026

  4. D

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    April 10, 2025 · Complaint · F622 · Corrected May 1, 2025

  5. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    January 10, 2025 · Standard · F554 · Corrected February 10, 2025

  6. D

    Reasonably accommodate the needs and preferences of each resident.

    January 10, 2025 · Standard · F558 · Corrected February 10, 2025

  7. D

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    January 10, 2025 · Standard · F565 · Corrected February 10, 2025

  8. B

    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 10, 2025 · Standard · F584 · Corrected February 10, 2025

  9. B

    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.

    January 10, 2025 · Standard · F625 · Corrected February 10, 2025

  10. D

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    June 5, 2024 · Complaint · F622 · Corrected June 28, 2024

  11. D

    Reasonably accommodate the needs and preferences of each resident.

    October 30, 2023 · Complaint · F558 · Corrected November 8, 2023

  12. D

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

    August 23, 2022 · Standard · F550 · Corrected September 21, 2022

  13. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    August 23, 2022 · Standard · F554 · Corrected September 21, 2022

  14. D

    Reasonably accommodate the needs and preferences of each resident.

    August 23, 2022 · Standard · F558 · Corrected September 21, 2022

  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.

    August 23, 2022 · Standard · F578 · Corrected September 21, 2022

  16. 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.

    August 23, 2022 · Standard · F584 · Corrected September 21, 2022

Pharmacy Service12E
  1. E

    Ensure that residents are free from significant medication errors.

    April 10, 2026 · Standard · F760 · Corrected May 10, 2026

  2. D

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

    April 10, 2026 · Standard · F755 · Corrected May 10, 2026

  3. 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.

    April 10, 2026 · Standard · F761 · Corrected May 10, 2026

  4. 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.

    January 10, 2025 · Standard · F758 · Corrected February 10, 2025

  5. D

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

    January 10, 2025 · Standard · F757 · Corrected February 10, 2025

  6. D

    Ensure medication error rates are not 5 percent or greater.

    January 10, 2025 · Standard · F759 · Corrected February 10, 2025

  7. D

    Ensure that residents are free from significant medication errors.

    January 10, 2025 · Standard · F760 · Corrected February 10, 2025

  8. 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.

    January 10, 2025 · Standard · F761 · Corrected February 10, 2025

  9. B

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

    January 10, 2025 · Standard · F755 · Corrected February 10, 2025

  10. B

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

    January 10, 2025 · Standard · F756 · Corrected February 10, 2025

  11. D

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

    August 23, 2022 · Standard · F755 · Corrected September 21, 2022

  12. 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.

    August 23, 2022 · Standard · F761 · Corrected September 21, 2022

Resident Assessment and Care Planning8D
  1. D

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

    April 10, 2026 · Standard · F644 · Corrected May 10, 2026

  2. B

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

    April 10, 2026 · Standard · F656 · Corrected May 10, 2026

  3. B

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

    June 12, 2025 · Complaint · F656 · Corrected July 11, 2025

  4. B

    PASARR screening for Mental disorders or Intellectual Disabilities

    January 10, 2025 · Standard · F645 · Corrected February 10, 2025

  5. B

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

    January 10, 2025 · Standard · F656 · Corrected February 10, 2025

  6. B

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

    January 10, 2025 · Standard · F842 · Corrected February 10, 2025

  7. D

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

    August 23, 2022 · Standard · F656 · Corrected September 21, 2022

  8. D

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

    August 23, 2022 · Standard · F842 · Corrected September 21, 2022

Nutrition and Dietary7E
  1. E

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

    April 10, 2026 · Standard · F804 · Corrected May 10, 2026

  2. E

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

    April 10, 2026 · Standard · F812 · Corrected May 10, 2026

  3. D

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

    April 10, 2026 · Standard · F803 · Corrected May 10, 2026

  4. D

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

    January 10, 2025 · Standard · F812 · Corrected February 10, 2025

  5. B

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

    January 10, 2025 · Standard · F804 · Corrected February 10, 2025

  6. E

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

    August 23, 2022 · Standard · F812 · Corrected September 21, 2022

  7. B

    Dispose of garbage and refuse properly.

    August 23, 2022 · Standard · F814 · Corrected September 21, 2022

Infection Control6E
  1. D

    Provide and implement an infection prevention and control program.

    April 10, 2026 · Standard · F880 · Corrected May 10, 2026

  2. D

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

    April 10, 2026 · Standard · F883 · Corrected May 10, 2026

  3. D

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    April 10, 2026 · Standard · F887 · Corrected May 10, 2026

  4. E

    Provide and implement an infection prevention and control program.

    January 10, 2025 · Standard · F880 · Corrected February 10, 2025

  5. D

    Implement a program that monitors antibiotic use.

    January 10, 2025 · Standard · F881 · Corrected February 10, 2025

  6. E

    Provide and implement an infection prevention and control program.

    August 23, 2022 · Standard · F880 · Corrected September 21, 2022

Freedom from Abuse, Neglect, and Exploitation5D
  1. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    April 10, 2026 · Standard · F605 · Corrected May 10, 2026

  2. D

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

    June 12, 2025 · Complaint · F609 · Corrected July 11, 2025

  3. D

    Respond appropriately to all alleged violations.

    June 12, 2025 · Complaint · F610 · Corrected July 11, 2025

  4. D

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

    March 27, 2025 · Complaint · F604 · Corrected April 26, 2025

  5. D

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

    July 17, 2024 · Complaint · F600 · Corrected August 1, 2024

Environmental3D
  1. D

    Keep all essential equipment working safely.

    April 10, 2026 · Standard · F908 · Corrected May 10, 2026

  2. B

    Keep all essential equipment working safely.

    January 10, 2025 · Standard · F908 · Corrected February 10, 2025

  3. D

    Keep all essential equipment working safely.

    August 23, 2022 · Standard · F908 · Corrected September 21, 2022

Nursing and Physician Services1D
  1. 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.

    January 10, 2025 · Standard · F726 · Corrected February 10, 2025

Administration1D
  1. 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.

    January 10, 2025 · Standard · F849 · Corrected February 10, 2025

Inspection history

  1. 2026-04-10

    22 health deficiencies · 2 fire-safety deficiencies

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

  2. 2025-01-10

    35 health deficiencies · 4 fire-safety deficiencies

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

  3. 2022-08-23

    24 health deficiencies · 10 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 59 min of nursing staff time a day, 20 min of it from a registered nurse.

This home

3 h 59 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 44% 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

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 days1.9 pts worse4.12.21.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better1.31.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better100.0%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better100.0%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts worse2.1%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms5.2 pts better2.4%7.6%13.5%
Percentage of long-stay residents who lose too much weight1.5 pts better2.6%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2 pts worse15.7%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.1 pts worse16.4%12.3%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.3 pts worse9.2%8.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.5 pts better8.7%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better0.6%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.2 pts better0.0%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.5 pts worse15.3%9.8%18.3%
Percentage of long-stay residents with pressure ulcers1.9 pts worse6.2%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.2 pts better99.8%94.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit5.5 pts better5.6%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better0.8%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.4 pts better98.5%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.2 pts worse22.8%22.6%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Win Win Enterprises, LLC5% Or Greater Direct Ownership Interest · Organization57%28 facilities
861 South Harbor Blvd.Adp Of The SNF · Organization0%1 facilities
Butenko, JulieAdp Of The SNF · Individual0%32 facilities
Cambridge Healthcare Services LLCAdp Of The SNF · Organization0%32 facilities
Capela, HeidiAdp Of The SNF · Individual0%32 facilities
Daniel Wintner 2020 Irrevocable Gift Trust Dated November 23, 20205% Or Greater Indirect Ownership Interest · Organization0%1 facilities
Daniel Wintner 2020 Irrevocable Gift Trust Dated November 23, 2020Adp Of The SNF · Organization0%1 facilities
Elizabeth Wintner 2020 Irrevocable Gift Trust Dated November 23,20205% Or Greater Indirect Ownership Interest · Organization0%1 facilities
Elizabeth Wintner 2020 Irrevocable Gift Trust Dated November 23,2020Adp Of The SNF · Organization0%1 facilities
Hassell, LanceIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%38 facilities
Hassell, LanceAdp Of The SNF · Individual0%38 facilities
Jeremy Wintner 2020 Irrevocable Gift Trust Dated November 23, 20205% Or Greater Indirect Ownership Interest · Organization0%1 facilities
Jeremy Wintner 2020 Irrevocable Gift Trust Dated November 23, 2020Adp Of The SNF · Organization0%1 facilities
Koontz, RobertManaging Control - Governing Body · Individual0%1 facilities
Koontz, RobertOperational/Managerial Control · Individual0%1 facilities
Koontz, RobertAdp Of The SNF · Individual0%1 facilities
Kuizon, KristinaManaging Control - Governing Body · Individual0%8 facilities
Kuizon, KristinaOperational/Managerial Control · Individual0%8 facilities
Kuizon, KristinaAdp Of The SNF · Individual0%8 facilities
Lutz, LindaAdp Of The SNF · Individual0%31 facilities
Mark Wintner 2020 Irrevocable Gift Trust Dated November 23, 20205% Or Greater Indirect Ownership Interest · Organization0%1 facilities
Mark Wintner 2020 Irrevocable Gift Trust Dated November 23, 2020Adp Of The SNF · Organization0%1 facilities
Phillip Wintner 2020 Irrevocable Gift Trust Dated November 23, 20205% Or Greater Indirect Ownership Interest · Organization0%1 facilities
Phillip Wintner 2020 Irrevocable Gift Trust Dated November 23, 2020Adp Of The SNF · Organization0%1 facilities
Preferred BankAdp Of The SNF · Organization0%7 facilities
Professional Directions For Health CareAdp Of The SNF · Organization0%6 facilities
Salazar, PaulinaOperational/Managerial Control · Individual0%32 facilities
Salazar, PaulinaAdp Of The SNF · Individual0%32 facilities
Sherry Latt Lowy Living Trust Utd July 31, 19925% Or Greater Indirect Ownership Interest · Organization0%1 facilities
Win Win Enterprises, LLCAdp Of The SNF · Organization0%28 facilities
Wintner, Daniel5% Or Greater Indirect Ownership Interest · Individual0%2 facilities
Wintner, DanielAdp Of The SNF · Individual0%2 facilities
Wintner, Elizabeth5% Or Greater Indirect Ownership Interest · Individual0%1 facilities
Wintner, ElizabethAdp Of The SNF · Individual0%1 facilities
Wintner, FrancineIndirect Ownership Interest · Individual0%1 facilities
Wintner, JacobIndirect Ownership Interest · Individual0%35 facilities
Wintner, JacobCorporate Officer · Individual0%35 facilities
Wintner, Jeremy5% Or Greater Indirect Ownership Interest · Individual0%1 facilities
Wintner, JeremyAdp Of The SNF · Individual0%1 facilities
Wintner, Mark5% Or Greater Indirect Ownership Interest · Individual0%1 facilities
Wintner, MarkAdp Of The SNF · Individual0%1 facilities
Wintner, Phillip5% Or Greater Indirect Ownership Interest · Individual0%1 facilities
Wintner, PhillipAdp Of The SNF · Individual0%1 facilities

·

Fire safety

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

Emergency Preparedness6D
  1. C

    Provide primary/alternate means for communication.

    January 10, 2025 · E32 · Corrected January 22, 2025

  2. C

    Conduct testing and exercise requirements.

    January 10, 2025 · E39 · Corrected February 6, 2025

  3. D

    Provide emergency officials' contact information.

    August 23, 2022 · E31 · Corrected September 12, 2022

  4. D

    Establish staff and initial training requirements.

    August 23, 2022 · E37 · Corrected September 12, 2022

  5. D

    Conduct testing and exercise requirements.

    August 23, 2022 · E39 · Corrected September 12, 2022

  6. D

    Conduct risk assessment and an All-Hazards approach.

    August 23, 2022 · E6 · Corrected September 12, 2022

Smoke4E
  1. D

    Install corridor and hallway doors that block smoke.

    April 10, 2026 · K363 · Corrected April 21, 2026

  2. E

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

    August 23, 2022 · K345 · Corrected September 12, 2022

  3. E

    Properly provide smoke detection systems in areas open to corridors.

    August 23, 2022 · K347 · Corrected September 12, 2022

  4. D

    Install corridor and hallway doors that block smoke.

    August 23, 2022 · K363 · Corrected September 12, 2022

Gas, Vacuum, and Electrical Systems4F
  1. F

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

    January 10, 2025 · K918 · Corrected January 22, 2025

  2. D

    Have proper medical gas storage and administration areas.

    January 10, 2025 · K923 · Corrected January 20, 2025

  3. D

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

    August 23, 2022 · K918 · Corrected September 12, 2022

  4. D

    Have proper medical gas storage and administration areas.

    August 23, 2022 · K923 · Corrected September 12, 2022

Miscellaneous1D
  1. D

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

    April 10, 2026 · K741 · Corrected April 21, 2026

Construction1D
  1. D

    Use approved construction type or materials.

    August 23, 2022 · K161 · Corrected September 12, 2022

·

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