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

Waterview Heights Rehabilitation and Nursing Cente

135 Meridan St., Rochester, NY · (585) 663-0930

  • Special Focus Facility

CMS overall rating

Not rated
Compare with a nearby home →
Certified beds
229
Residents per day
170
Ownership
For-Profit
Chain
Hurlbut Care
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 1, 1972

3

What inspectors found

90 health citations on record since 2024. 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 6 100 pts
L 6 150 pts

Actual harmA resident was hurt

G 8 20 pts
H 2 35 pts
I 4 45 pts

Potential for harmNo one was hurt, but could have been

D 22 4 pts
E 23 8 pts
F 15 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 4 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 (26)

  1. G

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

    August 21, 2026 · Complaint inspection · Quality of Life and Care · F689 · Not yet marked corrected

  2. H

    Provide and implement an infection prevention and control program.

    July 17, 2026 · Complaint inspection · Infection Control · F880 · Not yet marked corrected

  3. K

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

    December 22, 2025 · Standard inspection · Quality of Life and Care · F684 · Corrected February 20, 2026

  4. K

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

    December 22, 2025 · Standard inspection · Quality of Life and Care · F689 · Corrected February 20, 2026

  5. I

    Honor each resident's preferences, choices, values and beliefs.

    December 22, 2025 · Standard inspection · Quality of Life and Care · F675 · Corrected February 20, 2026

  6. G

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

    December 22, 2025 · Standard inspection · Resident Rights · F554 · Corrected April 22, 2026

  7. G

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

    December 22, 2025 · Standard inspection · Quality of Life and Care · F677 · Corrected April 22, 2026

  8. G

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

    December 22, 2025 · Standard inspection · Quality of Life and Care · F686 · Corrected February 20, 2026

  9. G

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

    December 22, 2025 · Standard inspection · Quality of Life and Care · F692 · Corrected April 22, 2026

  10. G

    Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

    December 22, 2025 · Standard inspection · Administration · F840 · Corrected February 20, 2026

  11. L

    Honor each resident's preferences, choices, values and beliefs.

    May 9, 2025 · Standard inspection · Quality of Life and Care · F675 · Corrected June 30, 2025

  12. L

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

    May 9, 2025 · Complaint inspection · Nursing and Physician Services · F725 · Corrected June 30, 2025

  13. L

    Ensure that residents are free from significant medication errors.

    May 9, 2025 · Standard inspection · Pharmacy Service · F760 · Corrected June 30, 2025

  14. L

    Provide and implement an infection prevention and control program.

    May 9, 2025 · Standard inspection · Infection Control · F880 · Corrected April 14, 2025

  15. K

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

    May 9, 2025 · Standard inspection · Quality of Life and Care · F689 · Corrected June 30, 2025

  16. I

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

    May 9, 2025 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected June 30, 2025

  17. G

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

    May 9, 2025 · Standard inspection · Quality of Life and Care · F684 · Corrected August 4, 2025

  18. G

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

    May 9, 2025 · Complaint inspection · Quality of Life and Care · F686 · Corrected June 30, 2025

  19. L

    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.

    September 17, 2024 · Standard inspection · Pharmacy Service · F761 · Corrected November 15, 2024

  20. L

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    September 17, 2024 · Standard inspection · Administration · F837 · Corrected November 15, 2024

  21. K

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

    September 17, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected November 15, 2024

  22. K

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

    September 17, 2024 · Standard inspection · Quality of Life and Care · F686 · Corrected January 13, 2025

  23. K

    Ensure that residents are free from significant medication errors.

    September 17, 2024 · Complaint inspection · Pharmacy Service · F760 · Corrected January 13, 2025

  24. I

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

    September 17, 2024 · Complaint inspection · Resident Rights · F550 · Corrected November 15, 2024

  25. I

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

    September 17, 2024 · Standard inspection · Nursing and Physician Services · F725 · Corrected November 15, 2024

  26. H

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

    September 17, 2024 · Complaint inspection · Quality of Life and Care · F677 · Corrected November 15, 2024

Everything else, by area of care

Quality of Life and Care14E
  1. E

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

    July 17, 2026 · Complaint · F677 · Not yet marked corrected

  2. E

    Provide activities to meet all resident's needs.

    December 22, 2025 · Standard · F679 · Corrected April 22, 2026

  3. 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.

    December 22, 2025 · Standard · F688 · Corrected April 22, 2026

  4. 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.

    December 22, 2025 · Standard · F693 · Corrected April 22, 2026

  5. D

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

    December 22, 2025 · Standard · F698 · Corrected April 22, 2026

  6. E

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

    May 9, 2025 · Complaint · F677 · Corrected June 30, 2025

  7. 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 9, 2025 · Complaint · F690 · Corrected June 30, 2025

  8. D

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

    May 9, 2025 · Standard · F698 · Corrected June 30, 2025

  9. E

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

    September 17, 2024 · Standard · F684 · Corrected November 21, 2024

  10. 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 17, 2024 · Standard · F690 · Corrected November 15, 2024

  11. 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 17, 2024 · Standard · F693 · Corrected January 13, 2025

  12. E

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

    January 25, 2024 · Complaint · F689 · Corrected April 22, 2024

  13. D

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

    January 25, 2024 · Complaint · F677 · Corrected March 15, 2024

  14. D

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

    January 25, 2024 · Complaint · F745 · Corrected March 15, 2024

Resident Rights12F
  1. E

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

    December 22, 2025 · Standard · F550 · Corrected February 20, 2026

  2. 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 22, 2025 · Standard · F584 · Corrected April 22, 2026

  3. B

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

    December 22, 2025 · Standard · F582 · Corrected February 20, 2026

  4. E

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

    May 9, 2025 · Standard · F550 · Corrected June 30, 2025

  5. E

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

    May 9, 2025 · Standard · F565 · Corrected June 30, 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.

    May 9, 2025 · Standard · F584 · Corrected August 4, 2025

  7. F

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

    September 17, 2024 · Standard · F565 · Corrected November 15, 2024

  8. F

    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.

    September 17, 2024 · Complaint · F584 · Corrected November 15, 2024

  9. 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 25, 2024 · Complaint · F584 · Corrected April 22, 2024

  10. D

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

    January 25, 2024 · Complaint · F557 · Corrected March 15, 2024

  11. D

    Reasonably accommodate the needs and preferences of each resident.

    January 25, 2024 · Complaint · F558 · Corrected March 15, 2024

  12. B

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

    January 25, 2024 · Complaint · F582 · Corrected March 15, 2024

Nutrition and Dietary9F
  1. F

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

    December 22, 2025 · Standard · F812 · Corrected April 22, 2026

  2. D

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

    December 22, 2025 · Standard · F804 · Corrected April 22, 2026

  3. F

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

    May 9, 2025 · Standard · F812 · Corrected August 4, 2025

  4. E

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

    May 9, 2025 · Standard · F804 · Corrected June 30, 2025

  5. D

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

    May 9, 2025 · Standard · F805 · Corrected June 30, 2025

  6. F

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

    September 17, 2024 · Standard · F812 · Corrected November 15, 2024

  7. F

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    September 17, 2024 · Standard · F813 · Corrected November 20, 2024

  8. D

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    September 17, 2024 · Standard · F810 · Corrected November 15, 2024

  9. E

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

    January 25, 2024 · Complaint · F812 · Corrected April 22, 2024

Administration7F
  1. F

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    December 22, 2025 · Standard · F835 · Corrected February 20, 2026

  2. F

    Have a plan that describes the process for conducting QAPI and QAA activities.

    December 22, 2025 · Standard · F865 · Corrected February 20, 2026

  3. F

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    May 9, 2025 · Standard · F835 · Corrected June 30, 2025

  4. F

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    May 9, 2025 · Standard · F837 · Corrected June 30, 2025

  5. F

    Have a plan that describes the process for conducting QAPI and QAA activities.

    May 9, 2025 · Standard · F865 · Corrected June 30, 2025

  6. E

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    May 9, 2025 · Standard · F836 · Corrected June 30, 2025

  7. E

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

    May 9, 2025 · Standard · F868 · Corrected June 30, 2025

Pharmacy Service6E
  1. 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.

    December 22, 2025 · Standard · F761 · Corrected February 20, 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.

    May 9, 2025 · Complaint · F761 · Corrected June 30, 2025

  3. E

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

    January 25, 2024 · Complaint · F756 · Corrected March 15, 2024

  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 25, 2024 · Complaint · F758 · Corrected March 15, 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.

    January 25, 2024 · Complaint · F761 · Corrected April 22, 2024

  6. D

    Ensure that residents are free from significant medication errors.

    January 25, 2024 · Complaint · F760 · Corrected April 22, 2024

Environmental5F
  1. E

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

    July 17, 2026 · Complaint · F919 · Not yet marked corrected

  2. F

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

    December 22, 2025 · Standard · F925 · Corrected April 22, 2026

  3. D

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    May 9, 2025 · Standard · F912 · Corrected June 30, 2025

  4. D

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

    May 9, 2025 · Standard · F914 · Corrected June 30, 2025

  5. B

    Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

    May 9, 2025 · Standard · F917 · Corrected June 30, 2025

Infection Control4F
  1. F

    Provide and implement an infection prevention and control program.

    December 22, 2025 · Standard · F880 · Corrected April 22, 2026

  2. F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    May 9, 2025 · Complaint · F882 · Corrected June 30, 2025

  3. E

    Provide and implement an infection prevention and control program.

    September 17, 2024 · Standard · F880 · Corrected November 15, 2024

  4. D

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

    September 17, 2024 · Standard · F883 · Corrected November 15, 2024

Resident Assessment and Care Planning3F
  1. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    December 22, 2025 · Standard · F645 · Corrected February 20, 2026

  2. F

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    September 17, 2024 · Standard · F655 · Corrected November 15, 2024

  3. E

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

    September 17, 2024 · Complaint · F656 · Corrected November 15, 2024

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

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

    December 22, 2025 · Standard · F609 · Corrected February 20, 2026

  2. D

    Respond appropriately to all alleged violations.

    May 9, 2025 · Standard · F610 · Corrected June 30, 2025

Nursing and Physician Services2E
  1. E

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

    January 25, 2024 · Complaint · F725 · Corrected March 15, 2024

  2. B

    Post nurse staffing information every day.

    January 25, 2024 · Complaint · F732 · Corrected March 15, 2024

Inspection history

  1. 2025-12-22

    28 health deficiencies · 16 fire-safety deficiencies

    Top issue: Quality of Life and Care (12 deficiencies)

  2. 2025-05-09

    28 health deficiencies · 7 fire-safety deficiencies

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

  3. 2024-09-17

    34 health deficiencies · 6 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 57 min of nursing staff time a day, 42 min of it from a registered nurse.

This home

3 h 57 min

New York average

3 h 41 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 63% of nursing staff and 52% of registered nurses left in the past year, along with 2 administrators.

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

$799,713 in federal fines on record over the past three years.

DatePenaltyAmount
2025-12-22Fine$299,319
2025-12-22Payment Denial · 102 day denial$0
2025-05-09Fine$185,840
2024-09-17Fine$314,554

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 days1.3 pts worse3.01.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts worse2.51.31.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.3 pts worse81.5%91.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine11.9 pts worse83.3%95.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts worse5.2%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms18.5 pts better1.6%20.1%13.5%
Percentage of long-stay residents who lose too much weight1.3 pts worse7.0%5.7%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.8 pts better9.4%13.2%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.3 pts worse14.0%13.7%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.2 pts worse11.3%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.4 pts worse17.1%13.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse0.6%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts worse1.4%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.1 pts worse26.7%18.6%18.3%
Percentage of long-stay residents with pressure ulcers0.1 pts better6.4%6.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine34.1 pts worse43.5%77.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts worse10.8%9.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication6.2 pts worse7.3%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine30.3 pts worse48.6%78.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.3 pts worse24.9%20.6%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
Curletta, MarkW-2 Managing Employee · Individual0%12 facilities
Curletta, MarkCorporate Officer · Individual0%12 facilities
Curletta, MarkOperational/Managerial Control · Individual0%12 facilities
Hurlbut Health Consulting, LLCOperational/Managerial Control · Organization0%8 facilities

·

Fire safety

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

Smoke9F
  1. F

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

    December 22, 2025 · K321 · Corrected May 27, 2026

  2. F

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

    December 22, 2025 · K345 · Corrected March 4, 2026

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    December 22, 2025 · K353 · Corrected May 8, 2026

  4. D

    Install an approved automatic sprinkler system.

    December 22, 2025 · K351 · Corrected February 20, 2026

  5. E

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

    May 9, 2025 · K321 · Corrected June 13, 2025

  6. E

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

    May 9, 2025 · K355 · Corrected June 13, 2025

  7. E

    Have an enclosure around a vertical opening shaft.

    September 17, 2024 · K311 · Corrected February 10, 2025

  8. E

    Install an approved automatic sprinkler system.

    September 17, 2024 · K351 · Corrected October 22, 2024

  9. D

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

    September 17, 2024 · K321 · Corrected October 23, 2024

Egress5E
  1. E

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

    December 22, 2025 · K211 · Corrected February 20, 2026

  2. E

    Install proper backup exit lighting.

    December 22, 2025 · K281 · Corrected February 20, 2026

  3. D

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

    December 22, 2025 · K225 · Corrected March 3, 2026

  4. E

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    May 9, 2025 · K232 · Corrected June 13, 2025

  5. E

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    September 17, 2024 · K232 · Corrected November 20, 2024

Gas, Vacuum, and Electrical Systems5E
  1. E

    Meet requirements for the installation and maintenance of electrical systems.

    December 22, 2025 · K911 · Corrected February 20, 2026

  2. E

    Ensure electrical receptacles or cover plates have distinctive color or marking.

    December 22, 2025 · K917 · Corrected February 20, 2026

  3. E

    Ensure proper usage of power strips and extension cords.

    December 22, 2025 · K920 · Corrected May 8, 2026

  4. E

    Have proper medical gas storage and administration areas.

    December 22, 2025 · K923 · Corrected February 20, 2026

  5. D

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

    December 22, 2025 · K918 · Corrected February 20, 2026

Emergency Preparedness4F
  1. F

    Address subsistence needs for staff and patients.

    December 22, 2025 · E15 · Corrected May 8, 2026

  2. C

    Establish policies and procedures including evacuation.

    May 9, 2025 · E20 · Corrected June 15, 2025

  3. C

    Develop and maintain an Emergency Preparedness Program (EP).

    May 9, 2025 · E4 · Corrected June 15, 2025

  4. E

    Develop a communication plan.

    September 17, 2024 · E29 · Corrected October 9, 2024

Miscellaneous3E
  1. E

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

    December 22, 2025 · K741 · Corrected February 20, 2026

  2. E

    Have restrictions on the use of portable space heaters.

    December 22, 2025 · K781 · Corrected March 3, 2026

  3. D

    Provide properly sized and located linen or trash receptacles.

    May 9, 2025 · K754 · Corrected June 13, 2025

Construction2E
  1. E

    Use approved construction type or materials.

    May 9, 2025 · K161 · Corrected July 18, 2025

  2. E

    Use approved construction type or materials.

    September 17, 2024 · K161 · Corrected December 12, 2024

Services1F
  1. F

    Have properly installed electrical wiring and gas equipment.

    December 22, 2025 · K511 · Corrected February 20, 2026

·

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