St Anthony's Nsg & Rehab Ctr

Penalties

• Mar 9, 2026 — Fine ($198,900)
• Mar 9, 2026 — Payment Denial · payment denial 58 days
• Apr 2, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
• Jan 28, 2025 — Fine ($42,325)
• Jan 28, 2025 — Payment Denial · payment denial 13 days
• May 7, 2024 — IDPH fine (Nursing Home Care Act) ($2,200)
• May 7, 2024 — Fine ($16,349)
• Jan 27, 2024 — IDPH fine (Nursing Home Care Act) ($25,000)
• Jan 27, 2024 — IDPH fine (Nursing Home Care Act) ($50,000)
• Jan 2, 2024 — IDPH fine (Nursing Home Care Act) ($25,000)
• Oct 31, 2023 — IDPH fine (Nursing Home Care Act) ($25,000)
• Oct 18, 2023 — Payment Denial · payment denial 135 days
• Oct 18, 2023 — Fine ($299,501)

Inspection findings

1. Jun 6, 2026 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Jun 29, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0770 Administration Deficiencies

     Provide timely, quality laboratory services/tests to meet the needs of residents.

     Corrected Jun 29, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0919 Environmental Deficiencies

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

     Corrected Jun 29, 2026 · CMS health inspection

2. Mar 23, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0576 Resident Rights Deficiencies

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

     Corrected Apr 22, 2026 · CMS health inspection

3. Mar 9, 2026 Health · 3 findings
   • Serious Scope/severity G Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Apr 30, 2026 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Mar 31, 2026 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0837 Administration Deficiencies

     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.

     Corrected Mar 31, 2026 · CMS health inspection

4. Jan 26, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0921 Environmental Deficiencies

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

     Corrected Feb 5, 2026 · CMS health inspection

5. Sep 24, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Oct 17, 2025 · CMS health inspection

6. Jul 23, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Aug 25, 2025 · CMS health inspection

7. Apr 2, 2025 Health · 2 findings
   • Serious Scope/severity G Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Apr 30, 2025 · CMS health inspection

   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210a), 300.1210b), and 300.1210d)2)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5).

     Statement of deficiencies (PDF)

8. Feb 27, 2025 Fire Safety · 15 findings
   • Not serious Scope/severity F

     E0026 Emergency Preparedness Deficiencies

     Establish roles under a Waiver declared by secretary.

     Corrected Apr 4, 2025 · CMS fire safety

   • Not serious Scope/severity F

     E0037 Emergency Preparedness Deficiencies

     Establish staff and initial training requirements.

     Corrected Apr 4, 2025 · CMS fire safety

   • Not serious Scope/severity C

     F0577 Resident Rights Deficiencies

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

     Corrected Mar 25, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Mar 25, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Mar 25, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     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.

     Corrected Mar 25, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Mar 25, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 25, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0887 Infection Control Deficiencies

     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.

     Corrected Mar 25, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

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

     Corrected Apr 4, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Apr 4, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0355 Smoke Deficiencies

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

     Corrected Apr 4, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

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

     Corrected Apr 4, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0521 Services Deficiencies

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

     Corrected Apr 4, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Apr 4, 2025 · CMS fire safety

9. Feb 4, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Feb 28, 2025 · CMS health inspection

10. Jan 28, 2025 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

      Corrected Feb 19, 2025 · CMS health inspection

11. Nov 15, 2024 Health · 1 finding
    • Not serious Scope/severity F Complaint

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

      Corrected Dec 11, 2024 · CMS health inspection

12. Oct 18, 2024 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0550 Resident Rights Deficiencies

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

      Corrected Nov 20, 2024 · CMS health inspection

13. Aug 1, 2024 Health · 3 findings
    • Not serious Scope/severity E Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Aug 27, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Aug 27, 2024 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0925 Environmental Deficiencies

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

      Corrected Aug 27, 2024 · CMS health inspection

14. Jul 11, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

      Corrected Jul 25, 2024 · CMS health inspection

15. May 7, 2024 Health · 2 findings
    • Serious Scope/severity J Complaint

      F0689 Quality of Life and Care Deficiencies

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

      Corrected May 8, 2024 · CMS health inspection

    • Not serious Scope/severity B

      Type B Illinois Nursing Home Care Act violation

      Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b), 300.1210c), and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6).

      Statement of deficiencies (PDF)

16. Mar 21, 2024 Fire Safety · 24 findings
    • Not serious Scope/severity F

      E0039 Emergency Preparedness Deficiencies

      Conduct testing and exercise requirements.

      Corrected Apr 12, 2024 · CMS fire safety

    • Not serious Scope/severity E

      F0578 Resident Rights Deficiencies

      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.

      Corrected Apr 4, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0688 Quality of Life and Care Deficiencies

      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.

      Corrected Apr 4, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0690 Quality of Life and Care Deficiencies

      Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      Corrected Apr 4, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0692 Quality of Life and Care Deficiencies

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

      Corrected Apr 4, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0698 Quality of Life and Care Deficiencies

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

      Corrected Apr 4, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0699 Quality of Life and Care Deficiencies

      Provide care or services that was trauma informed and/or culturally competent.

      Corrected Apr 4, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0761 Pharmacy Service Deficiencies

      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.

      Corrected Apr 4, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Apr 4, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0883 Infection Control Deficiencies

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

      Corrected Apr 4, 2024 · CMS health inspection

    • Not serious Scope/severity F

      K0293 Egress Deficiencies

      Have properly located and lighted "Exit" signs.

      Corrected Apr 12, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0311 Smoke Deficiencies

      Have an enclosure around a vertical opening shaft.

      Corrected Apr 12, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Apr 12, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0345 Smoke Deficiencies

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

      Corrected Apr 12, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0351 Smoke Deficiencies

      Install an approved automatic sprinkler system.

      Corrected Apr 12, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Apr 12, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0355 Smoke Deficiencies

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

      Corrected Apr 12, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0521 Services Deficiencies

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

      Corrected Apr 12, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Apr 12, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0761 Miscellaneous Deficiencies

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

      Corrected Apr 12, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0911 Gas, Vacuum, and Electrical Systems Deficiencies

      Meet requirements for the installation and maintenance of electrical systems.

      Corrected Apr 12, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0914 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      Corrected Apr 12, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0923 Gas, Vacuum, and Electrical Systems Deficiencies

      Have proper medical gas storage and administration areas.

      Corrected Apr 12, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0926 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

      Corrected Apr 12, 2024 · CMS fire safety

17. Feb 27, 2024 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

      Corrected Mar 21, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from the wrongful use of the resident's belongings or money.

      Corrected Mar 21, 2024 · CMS health inspection

18. Jan 27, 2024 Health · 6 findings
    • Serious Scope/severity G Complaint

      F0635 Resident Assessment and Care Planning Deficiencies

      Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

      Corrected Feb 28, 2024 · CMS health inspection

    • Serious Scope/severity L Complaint

      F0678 Quality of Life and Care Deficiencies

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

      Corrected Mar 1, 2024 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0695 Quality of Life and Care Deficiencies

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

      Corrected Feb 23, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0726 Nursing and Physician Services Deficiencies

      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.

      Corrected Feb 23, 2024 · CMS health inspection

    • Serious Scope/severity A

      Type A Illinois Nursing Home Care Act violation

      Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1010h), 300.1210b), 300.1210c), and 300.1210d)2)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b).

      Statement of deficiencies (PDF)

    • Serious Scope/severity AA

      Type AA Illinois Nursing Home Care Act violation

      Type AA: proximately caused a resident's death (210 ILCS 45/1-128.5). Sections of the Illinois Administrative Code cited: 300.610a), 300.1035a)3)4)5), 300.1035e), 300.1210b), 300.1210c), and 300.1210d)2)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b).

      Statement of deficiencies (PDF)

19. Jan 2, 2024 Health · 5 findings
    • Not serious Scope/severity D Complaint

      F0604 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

      Corrected Feb 9, 2024 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0686 Quality of Life and Care Deficiencies

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

      Corrected Feb 9, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0690 Quality of Life and Care Deficiencies

      Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      Corrected Feb 9, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0692 Quality of Life and Care Deficiencies

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

      Corrected Mar 18, 2024 · CMS health inspection

    • Serious Scope/severity A

      Type A Illinois Nursing Home Care Act violation

      Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1010h), 300.1210a), 300.1210b), 300.1210c), 300.1210d)2)3)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5).

      Statement of deficiencies (PDF)

20. Oct 31, 2023 Health · 5 findings
    • Not serious Scope/severity D Complaint

      F0657 Resident Assessment and Care Planning Deficiencies

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

      Corrected Jan 2, 2024 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0686 Quality of Life and Care Deficiencies

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

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0693 Quality of Life and Care Deficiencies

      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.

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0727 Nursing and Physician Services Deficiencies

      Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

      Corrected Dec 6, 2023 · CMS health inspection

    • Serious Scope/severity A

      Type A Illinois Nursing Home Care Act violation

      Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1010h), 300.1210b) and 300.1210d)2)3)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5).

      Statement of deficiencies (PDF)

21. Oct 18, 2023 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0677 Quality of Life and Care Deficiencies

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

      Corrected Nov 10, 2023 · CMS health inspection

22. Dec 16, 2022 Health · 19 findings
    • Not serious Scope/severity D

      F0554 Resident Rights Deficiencies

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

      Corrected Jan 13, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0657 Resident Assessment and Care Planning Deficiencies

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

      Corrected Jan 13, 2023 · CMS health inspection

    • Serious Scope/severity G

      F0686 Quality of Life and Care Deficiencies

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

      Corrected Jan 13, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0695 Quality of Life and Care Deficiencies

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

      Corrected Jan 13, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0758 Pharmacy Service Deficiencies

      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.

      Corrected Jan 13, 2023 · CMS health inspection

    • Not serious Scope/severity F

      F0812 Nutrition and Dietary Deficiencies

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

      Corrected Jan 13, 2023 · CMS health inspection

    • Not serious Scope/severity E

      K0133 Construction Deficiencies

      Install a two-hour-resistant firewall separation.

      Corrected Jan 18, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0321 Smoke Deficiencies

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

      Corrected Jan 18, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Jan 18, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0345 Smoke Deficiencies

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

      Corrected Jan 18, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0351 Smoke Deficiencies

      Install an approved automatic sprinkler system.

      Corrected Jan 18, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Jan 18, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0355 Smoke Deficiencies

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

      Corrected Jan 18, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Jan 18, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0374 Smoke Deficiencies

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

      Corrected Jan 18, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0521 Services Deficiencies

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

      Corrected Feb 1, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Jan 18, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0761 Miscellaneous Deficiencies

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

      Corrected Jan 18, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

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

      Corrected Jan 30, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• SHAH, KEVIN — 5% or greater direct ownership interest, 96%, since 03/31/2026
• SHAH, KEVIN — operational/managerial control, NOT APPLICABLE, since 03/31/2026