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

St Sophia Health & Rehabilitation Center

936 Charbonier Road, Florissant, MO · (314) 831-4800

CMS overall rating

1 of 5

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Certified beds
240
Residents per day
161
Ownership
For-Profit
Chain
Mgm Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 20, 1975

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

St Sophia Health & Rehabilitation Center carries 259 inspection points. That is fewer than 7% of Missouri's 479 rated homes.

5★4★3★2★1★+15 homes above 391.2505102550100200inspection points → fewer is better on the leftThis home · 259 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

87 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 4 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 50 4 pts
E 32 8 pts
F 1 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 (4)

  1. J

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

    January 28, 2025 · Standard inspection · Quality of Life and Care · F689 · Corrected February 27, 2025

  2. J

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

    July 18, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected July 15, 2024

  3. J

    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 18, 2023 · Complaint inspection · Quality of Life and Care · F678 · Corrected September 29, 2023

  4. J

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

    October 18, 2023 · Complaint inspection · Quality of Life and Care · F689 · Corrected June 13, 2023

Everything else, by area of care

Quality of Life and Care25E
  1. E

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

    May 1, 2026 · Complaint · F684 · Corrected June 1, 2026

  2. D

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

    May 1, 2026 · Complaint · F677 · Corrected June 1, 2026

  3. D

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

    March 5, 2026 · Complaint · F697 · Corrected March 28, 2026

  4. D

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

    November 6, 2025 · Complaint · F689 · Corrected November 17, 2025

  5. D

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

    October 30, 2025 · Complaint · F692 · Corrected November 18, 2025

  6. E

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

    October 3, 2025 · Complaint · F677 · Corrected November 7, 2025

  7. E

    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.

    October 3, 2025 · Complaint · F688 · Corrected November 7, 2025

  8. D

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

    October 3, 2025 · Complaint · F745 · Corrected November 7, 2025

  9. E

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

    August 18, 2025 · Complaint · F689 · Corrected September 24, 2025

  10. D

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

    August 18, 2025 · Complaint · F698 · Corrected September 24, 2025

  11. E

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

    January 28, 2025 · Complaint · F677 · Corrected February 27, 2025

  12. D

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

    January 28, 2025 · Standard · F695 · Corrected February 27, 2025

  13. 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 8, 2024 · Complaint · F693 · Corrected December 12, 2024

  14. D

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

    September 27, 2024 · Complaint · F684 · Corrected October 28, 2024

  15. 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.

    September 27, 2024 · Complaint · F693 · Corrected December 12, 2024

  16. D

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

    June 3, 2024 · Complaint · F684 · Corrected July 16, 2024

  17. E

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

    May 25, 2023 · Standard · F677 · Corrected July 6, 2023

  18. E

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

    May 25, 2023 · Standard · F689 · Corrected July 6, 2023

  19. D

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

    May 25, 2023 · Standard · F686 · Corrected July 6, 2023

  20. D

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

    May 25, 2023 · Standard · F745 · Corrected July 6, 2023

  21. E

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

    May 17, 2019 · Standard · F677 · Corrected June 25, 2019

  22. D

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

    May 17, 2019 · Standard · F689 · Corrected June 25, 2019

  23. 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.

    May 17, 2019 · Standard · F690 · Corrected June 25, 2019

  24. D

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

    May 17, 2019 · Standard · F697 · Corrected June 25, 2019

  25. D

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

    May 17, 2019 · Standard · F698 · Corrected June 25, 2019

Resident Rights25F
  1. D

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

    April 1, 2026 · Complaint · F580 · Corrected April 1, 2026

  2. E

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

    February 26, 2026 · Complaint · F567 · Corrected March 13, 2026

  3. D

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

    February 26, 2026 · Complaint · F554 · Corrected February 20, 2026

  4. D

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

    January 22, 2026 · Complaint · F550 · Corrected January 23, 2026

  5. D

    Keep residents' personal and medical records private and confidential.

    December 31, 2025 · Complaint · F583 · Corrected January 29, 2026

  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.

    December 31, 2025 · Complaint · F584 · Corrected January 29, 2026

  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.

    August 18, 2025 · Complaint · F584 · Corrected September 24, 2025

  8. D

    Reasonably accommodate the needs and preferences of each resident.

    May 21, 2025 · Complaint · F558 · Corrected June 27, 2025

  9. 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 21, 2025 · Complaint · F584 · Corrected June 17, 2025

  10. 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 28, 2025 · Standard · F584 · Corrected February 27, 2025

  11. D

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

    January 28, 2025 · Complaint · F550 · Corrected February 27, 2025

  12. D

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

    January 28, 2025 · Complaint · F554 · Corrected February 27, 2025

  13. D

    Reasonably accommodate the needs and preferences of each resident.

    January 28, 2025 · Standard · F558 · Corrected February 27, 2025

  14. D

    Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

    January 28, 2025 · Complaint · F620 · Corrected February 27, 2025

  15. D

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

    November 8, 2024 · Complaint · F567 · Corrected December 12, 2024

  16. D

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

    November 8, 2024 · Complaint · F569 · Corrected December 12, 2024

  17. D

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

    September 27, 2024 · Complaint · F567 · Corrected December 12, 2024

  18. D

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

    September 27, 2024 · Complaint · F569 · Corrected December 12, 2024

  19. E

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    May 25, 2023 · Standard · F557 · Corrected July 6, 2023

  20. E

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

    May 25, 2023 · Standard · F568 · Corrected July 6, 2023

  21. E

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

    May 25, 2023 · Standard · F569 · Corrected July 6, 2023

  22. 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.

    May 25, 2023 · Standard · F584 · Corrected July 6, 2023

  23. F

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

    May 17, 2019 · Standard · F567 · Corrected June 25, 2019

  24. E

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

    May 17, 2019 · Standard · F569 · Corrected June 25, 2019

  25. E

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

    May 17, 2019 · Standard · F576 · Corrected June 25, 2019

Resident Assessment and Care Planning13E
  1. D

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

    March 5, 2026 · Complaint · F658 · Corrected March 28, 2026

  2. D

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

    January 22, 2026 · Complaint · F658 · Corrected January 23, 2026

  3. E

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

    October 3, 2025 · Complaint · F658 · Corrected November 7, 2025

  4. E

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

    August 18, 2025 · Complaint · F656 · Corrected September 24, 2025

  5. D

    Assess the resident when there is a significant change in condition

    January 28, 2025 · Standard · F637 · Corrected February 27, 2025

  6. D

    Ensure each resident receives an accurate assessment.

    January 28, 2025 · Standard · F641 · Corrected February 27, 2025

  7. D

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

    January 28, 2025 · Standard · F658 · Corrected February 27, 2025

  8. D

    Ensure each resident receives an accurate assessment.

    May 25, 2023 · Standard · F641 · Corrected July 6, 2023

  9. D

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

    May 25, 2023 · Standard · F658 · Corrected July 6, 2023

  10. D

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

    May 25, 2023 · Standard · F842 · Corrected July 6, 2023

  11. E

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

    May 17, 2019 · Standard · F656 · Corrected June 25, 2019

  12. E

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

    May 17, 2019 · Standard · F657 · Corrected June 25, 2019

  13. E

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

    May 17, 2019 · Standard · F658 · Corrected June 25, 2019

Pharmacy Service7E
  1. D

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

    December 31, 2025 · Complaint · F755 · Corrected January 29, 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.

    January 28, 2025 · Standard · F761 · Corrected February 27, 2025

  3. D

    Ensure that residents are free from significant medication errors.

    October 18, 2023 · Complaint · F760 · Corrected November 8, 2023

  4. D

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

    May 25, 2023 · Standard · F757 · Corrected July 6, 2023

  5. E

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

    May 17, 2019 · Standard · F755 · Corrected June 25, 2019

  6. 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.

    May 17, 2019 · Standard · F758 · Corrected June 25, 2019

  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.

    May 17, 2019 · Standard · F761 · Corrected June 25, 2019

Infection Control4E
  1. D

    Provide and implement an infection prevention and control program.

    January 22, 2026 · Complaint · F880 · Corrected January 23, 2026

  2. D

    Provide and implement an infection prevention and control program.

    January 28, 2025 · Standard · F880 · Corrected February 27, 2025

  3. E

    Provide and implement an infection prevention and control program.

    May 25, 2023 · Standard · F880 · Corrected July 6, 2023

  4. E

    Provide and implement an infection prevention and control program.

    May 17, 2019 · Standard · F880 · Corrected June 25, 2019

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

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

    March 5, 2026 · Complaint · F600 · Corrected March 28, 2026

  2. D

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

    March 5, 2026 · Complaint · F607 · Corrected March 28, 2026

  3. D

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

    October 30, 2025 · Complaint · F607 · Corrected November 18, 2025

Administration2E
  1. D

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    November 6, 2025 · Complaint · F839 · Corrected November 17, 2025

  2. E

    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.

    May 17, 2019 · Standard · F849 · Corrected June 25, 2019

Nutrition and Dietary2E
  1. E

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

    January 28, 2025 · Standard · F812 · Corrected February 27, 2025

  2. E

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

    May 17, 2019 · Standard · F812 · Corrected June 25, 2019

Environmental1D
  1. D

    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.

    May 25, 2023 · Standard · F909 · Corrected July 6, 2023

Nursing and Physician Services1E
  1. E

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

    May 17, 2019 · Standard · F730 · Corrected June 25, 2019

Inspection history

  1. 2025-01-28

    37 health deficiencies · 11 fire-safety deficiencies

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

  2. 2023-05-25

    23 health deficiencies · 13 fire-safety deficiencies

    Top issue: Resident Rights (9 deficiencies)

  3. 2019-05-17

    27 health deficiencies · 5 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 3 h 13 min of nursing staff time a day, 17 min of it from a registered nurse.

This home

3 h 13 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 78% of nursing staff and 92% 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

$69,203 in federal fines on record over the past three years.

DatePenaltyAmount
2025-01-28Fine$33,560
2025-01-28Payment Denial · 18 day denial$0
2024-06-03Fine$14,053
2023-10-18Fine$21,590

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 days0.4 pts better1.62.01.8
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 vaccine75 pts worse9.0%84.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine18.2 pts worse72.6%90.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts better1.8%4.0%3.2%
Percentage of long-stay residents who have depressive symptoms38.5 pts worse58.5%20.0%13.5%
Percentage of long-stay residents who lose too much weight0.1 pts worse5.2%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication11.6 pts better14.0%25.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.7 pts better21.8%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 worsened10.9 pts better4.9%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased10.7 pts better6.7%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.2%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 incontinence5.2 pts worse22.3%17.1%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts better4.0%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine63 pts worse2.7%65.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit7.1 pts better6.3%13.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better1.5%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine54.4 pts worse7.0%61.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.2 pts better22.5%25.7%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Winter, Chaim5% Or Greater Direct Ownership Interest · Individual5%4 facilities
10-26 Nationwide TrDirect Ownership Interest · Organization0%10 facilities
10-26 Nationwide TrAdp Of The SNF · Organization0%10 facilities
Amin, IqbalOperational/Managerial Control · Individual0%5 facilities
Amin, IqbalAdp Of The SNF · Individual0%5 facilities
Bienstock, JudahDirect Ownership Interest · Individual0%17 facilities
Bienstock, JudahAdp Of The SNF · Individual0%17 facilities
Bloch, LeahIndirect Ownership Interest · Individual0%1 facilities
Bloch, MichaelIndirect Ownership Interest · Individual0%1 facilities
Bloch, SonjaIndirect Ownership Interest · Individual0%1 facilities
Bodner, JoelIndirect Ownership Interest · Individual0%1 facilities
Cabe, GwenOperational/Managerial Control · Individual0%1 facilities
Cabe, GwenAdp Of The SNF · Individual0%1 facilities
Cdw Investments LLCDirect Ownership Interest · Organization0%4 facilities
Friedman, HeshyIndirect Ownership Interest · Individual0%1 facilities
Jeremias, BaruchIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%25 facilities
Levy, ArielDirect Ownership Interest · Individual0%2 facilities
Midwest Geriatric Management LLCAdp Of The SNF · Organization0%3 facilities
Mls Acquisition LLCIndirect Ownership Interest · Organization0%6 facilities
Mm Acquisitions LLCDirect Ownership Interest · Organization0%5 facilities
Ratner, MargalitIndirect Ownership Interest · Individual0%1 facilities
Ratner, MosheIndirect Ownership Interest · Individual0%1 facilities
Reliant Rehabilitation Holdings IncOperational/Managerial Control · Organization0%13 facilities
Schreiber, MosheIndirect Ownership Interest · Individual0%1 facilities
Sofia Sunset Resources LLCDirect Ownership Interest · Organization0%1 facilities
Sofia Sunset Resources LLCAdp Of The SNF · Organization0%1 facilities
Sophia Realty Holdings, LLCAdp Of The SNF · Organization0%1 facilities
St Sophia Realty LLCAdp Of The SNF · Organization0%1 facilities
Weindling, JacobIndirect Ownership Interest · Individual0%1 facilities
Winter, ChaimIndirect Ownership Interest · Individual0%4 facilities
Winter, MenachemIndirect Ownership Interest · Individual0%3 facilities
Wrc Equity LLCIndirect Ownership Interest · Organization0%1 facilities

·

Fire safety

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

Smoke14F
  1. E

    Provide properly protected cooking facilities.

    January 28, 2025 · K324 · Corrected February 27, 2025

  2. E

    Install an approved automatic sprinkler system.

    January 28, 2025 · K351 · Not yet marked corrected

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    January 28, 2025 · K353 · Not yet marked corrected

  4. E

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

    January 28, 2025 · K355 · Corrected February 27, 2025

  5. E

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

    January 28, 2025 · K372 · Corrected February 27, 2025

  6. F

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

    May 25, 2023 · K345 · Corrected July 6, 2023

  7. E

    Provide properly protected cooking facilities.

    May 25, 2023 · K324 · Corrected July 6, 2023

  8. E

    Inspect, test, and maintain automatic sprinkler systems.

    May 25, 2023 · K353 · Corrected July 6, 2023

  9. E

    Install corridor and hallway doors that block smoke.

    May 25, 2023 · K363 · Corrected July 6, 2023

  10. E

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

    May 25, 2023 · K372 · Corrected July 6, 2023

  11. E

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

    May 25, 2023 · K374 · Corrected July 24, 2023

  12. E

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

    May 17, 2019 · K321 · Corrected June 25, 2019

  13. E

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

    May 17, 2019 · K372 · Corrected June 25, 2019

  14. E

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

    May 17, 2019 · K374 · Corrected November 17, 2019

Miscellaneous4F
  1. E

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

    January 28, 2025 · K741 · Corrected March 18, 2025

  2. F

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

    May 25, 2023 · K761 · Corrected July 6, 2023

  3. E

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

    May 25, 2023 · K741 · Corrected July 6, 2023

  4. E

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

    May 17, 2019 · K741 · Corrected June 25, 2019

Egress3F
  1. E

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

    January 28, 2025 · K211 · Corrected March 18, 2025

  2. 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.

    May 25, 2023 · K222 · Corrected July 6, 2023

  3. E

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

    May 25, 2023 · K211 · Corrected July 6, 2023

Services3E
  1. E

    Meet other general requirements that are deficient.

    January 28, 2025 · K500 · Corrected February 27, 2025

  2. E

    Have properly installed electrical wiring and gas equipment.

    January 28, 2025 · K511 · Corrected February 27, 2025

  3. E

    Have properly installed electrical wiring and gas equipment.

    May 25, 2023 · K511 · Corrected July 6, 2023

Gas, Vacuum, and Electrical Systems3E
  1. E

    Ensure proper usage of power strips and extension cords.

    January 28, 2025 · K920 · Corrected February 27, 2025

  2. E

    Have proper medical gas storage and administration areas.

    January 28, 2025 · K923 · Corrected February 27, 2025

  3. E

    Have proper medical gas storage and administration areas.

    May 17, 2019 · K923 · Corrected June 25, 2019

Emergency Preparedness2F
  1. F

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

    May 25, 2023 · E30 · Corrected July 6, 2023

  2. F

    Implement emergency and standby power systems.

    May 25, 2023 · E41 · Corrected July 6, 2023

·

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