Call for pricing and availability: (800) 780-8101
Hallmark Manor
32300 First Ave. S., Federal Way, WA 98003
Based on 33 reviews
Services and Housing Options
Nursing Home, Skilled Nursing, RehabilitationEstimated Pricing
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Hallmark Manor Description
Nestled in Federal Way, Washington south of the Puget Sound, Hallmark Manor is a Life Care Centers of America facility that is perfect for patients and residents seeking short-term rehabilitation, long-term care or post-operative recovery. Our skilled nursing team provides 24-hour care focused on inpatient and outpatient rehabilitation. Using state-of-the art equipment and techniques, such as the VitalStim® therapy system, we strive to achieve the maximum level of independence restoration possible for each patient and resident.Rehabilitation
A skilled team of physical, occupational and speech therapists evaluates the rehabilitation needs of each patient to design an outcome oriented treatment program. The purpose of rehabilitation programs is to help people reach their highest potential and give them the skills and confidence they need for independent living. We offer innovative inpatient and outpatient programs with cutting-edge rehab technologies to help our patients reach their maximum level of independence.Skilled Nursing
There are a plethora of conditions that necessitate skilled nursing care, from wound care to diabetes management. Our nurses have a wealth of experience with all sorts of diagnoses. If you need surgery or care, contact us today and we will take care of you.Price Comparison
Ranking
Parent Organization
Hallmark Manor is a member of a larger group of communities called Life Care Centers of AmericaConnect with a Free Senior Living Advisor
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Amenities
Hallmark Manor provides a safe and comfortable living environment for its residents, with 24/7 security and fire safety systems. Amenities include beauty salon services, bedside/bathroom call lights, certified dietitian-planned meals, flat-screen TVs, complimentary wireless Internet access throughout the building, daily activities planned by a full-time activity director and flexible visiting hours. The family/resident councils help create a homey atmosphere while the community re-entry program assists with transitioning back into society.Rehabilitation Services and Amenities
Hallmark Manor is dedicated to providing its residents with comprehensive rehabilitation services and amenities. The team of professionals specialize in physical, occupational and speech therapy to ensure the best care possible. Physical therapy focuses on improving mobility, while occupational therapy helps residents relearn activities of daily living. Speech therapy assists with communication and swallowing difficulties. All these services are available at Hallmark Manor to help residents reach their highest potential for recovery.Skilled Nursing Services and Amenities
Hallmark Manor offers 24/7 easy admissions and 24-hour skilled nursing care. They provide case management, discharge planning, fall prevention, individualized treatment plans, infection management, IV therapy, long- and short-term care, a medical director, medication management, post-surgical care, a pre-admission program, social services and wound care.Health
long-term care
therapists
individualized treatment plans
community re-entry program
functional mobility
infection management
skilled nursing & rehabilitation
24-hour care
occupational therapy
medical director
physician
speech therapy
fall prevention
iv therapy
case management
long- and short-term care
nursing staff
diabetes management
physical therapy
individualized care plans
inpatient and outpatient rehabilitation
patient/family education program
short-term rehabilitation
medication management
24-hour skilled nursing care
certified dietitian
wound care
social services
post-surgical care
Activities
reading
art
activities of daily living
daily activity schedule
Dining
fine dining program
Services
24/7 easy admissions
full-time, certified activity director
transportation services
housekeeping and laundry services
pre-admission program
discharge planning
family/resident councils
Amenities
beauty salon and barber shop
flexible visiting hours
private bathrooms
landscaped grounds and courtyards
library
homelike setting
complimentary wireless internet
telephone and cable television hookups
non-smoking facility
flat-screen tvs
24-hour security and fire safety systems
bedside and bathroom call lights
gardens
Pets
pet visitors allowed
Religious
religious services
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Employee Reviews for Life Care Centers of America in Federal Way, Washington
3.14 out of 5 stars. Based on 7 reviews
Employees of Life Care Centers of America in the Federal Way, WA area generally have positive things to say about their experience. They report friendly staff, a clean environment, and great teams. However, they also mention poor pay, poor benefits, and poor communication if laid off. They also mention severely unstructured training, an understaffed atmosphere, and a rushed atmosphere that can lead to lower quality patient care. Additionally, aides make less than cashiers and fast food workers, which can be extremely stressful and difficult to manage. Some employees have had positive experiences with managers who have gone out of their way to help them, and have had the management support and tools needed to succeed. However, there is a lack of clear expectations on what their role is, and no clear cut information on what to do in certain incidences, leading to mismanagement and miscommunication. Employees appreciate the people they work with, but feel that expectations from above are unclear and they are told to learn better time management when they reach out for help or guidance. Employees also appreciate the flexibility to work remotely, and that they have been vaccinated for COVID-19.Employee Reviews for Life Care Centers of America
2.86 out of 5 stars. Based on 1000 reviews
Not enough staff.. Advice to Management:Listen to your staff. Pros:Nice coworkers, good benefits Cons:Low pay, high patient to staff ratio, lack of support from management Advice to Management:Listen to your staff and provide more support.Information from Centers for Medicare & Medicaid Services
This nursing community has been given an overall rating of 1 out of 5 stars by The Center for Medicare and Medicaid receiving 1 stars on its health inspection, 4 stars on its quality measures rating, and 3 stars on its staffing rating. This nursing home is certified by Medicare and Medicaid and was first approved to provide Medicare and Medicaid services on 05/28/87 and is run by a for profit organization. It is a large-sized nursing community with 147 nursing beds. Currently, there are 82 residents within the nursing community. Be advised these resident occupancy numbers are not always up to date and are collected from the Center for Medicare and Medicaid Services website periodically.Alerts from Centers for Medicare & Medicaid Services
This facility has been given 5 fines by The Centers for Medicare & Medicaid Services for a total of $44,724.55. The facility has also had 4 substantiated complaints reported in the last 3 years that resulted in a citation. The facility has had 16 facility incidents reported in the last 3 years that resulted in a citation.Overall Ratings
The Hallmark Manor nursing home unfortunately holds a 1-star overall rating, putting it among the bottom 20% of all facilities in terms of overall rating, which is significantly lower than the statewide average. The rating is largely influenced by its 1-star health inspection rating, which is also the lowest possible, placing the facility in the bottom 10% for health inspection performance, again lower than the state average. However, the Hallmark Manor nursing home does redeem itself somewhat in terms of quality, possessing a commendable 4-star rating. This places it in the upper half of all facilities in terms of quality. Unfortunately though, it still somewhat misses the mark as this rating, too, falls slightly below the state average.Staff Ratings
Hallmark Manor, a nursing home, ranks in the upper 40% of facilities in regard to nursing aid staffing hours per resident per day with a rating of 2.31 hours, although this is still slightly less than the state average of 2.53 hours. However, when it comes to LPN staffing hours, the nursing home falls in the bottom half of facilities, offering 0.85 hours per resident per day, even though it is slightly higher than the state average of 0.82 hours. Similarly, in the category of RN staffing hours per resident per day, Hallmark Manor is in the lower half with only 0.55 hours. This figure is less than the state average of 0.89 hours. The facility also falls in the bottom half for licensed staffing hours, offering 1.41 hours as against the state's 1.71 hours. Finally, in terms of physical therapist staffing hours per resident per day, Hallmark Manor is in the lower 40% of facilities, providing just 0.03 hours which is less than the state’s average of 0.09 hours.Covid Data
The Hallmark Manor, a nursing home, faces significant vaccination challenges. It ranks among the bottom 30% of nursing homes in terms of the rate of residents who are up to date with their latest vaccinations. A mere 48.9% of residents have received their most recent vaccinations, which is a concerning figure when compared to the state average of 61.0%. This falls short of the standard and indicates a need for improvement. Similarly, the staff vaccination rate is also alarmingly low in comparison to the state average. Only 9.0% of the staff are up to date with their vaccinations, placing the nursing home in the bottom 40% of all facilities. This is significantly below the state staff average vaccination rate of 28.6%, underlining a widespread issue within the facility.Quality Measures
The Hallmark Manor is a nursing home that boasts a 4-star quality measure rating, positioning it near the top for care quality. However, there are areas the facility needs to improve upon. Its vaccination rate, standing at 85.51%, falls below the state average of 94.73%, putting it in the bottom 10% of all nursing homes in terms of flu vaccination rate. Furthermore, they are also in the bottom 40% in reference to the percentage of residents suffering from depressive symptoms, with a rate of 5.74% compared to the state average of 12.88%. Conversely, although still a concern, the facility is in the top 40% in terms of residents experiencing one or more falls with a major injury at 2.18%, which is below the state's average of 2.8%. Lastly, Hallmark Manor falls into the bottom 30% of facilities with respect to the percentage of residents whose ability to move independently worsened, with a rate of 21.15% which surpasses the state's average of 19.38%. All these figures suggest, while Hallmark Manor is passable in terms of care quality, it could focus on improving these few areas for overall better service to its residents.Healthcare Nearby
Hospitals
Pharmacies
Dentists
Essentials Nearby
None Found
Bus Stations
Supermarkets
Banks
Things to do in the Area
None Found
Parks
Shopping
Culture
Restaurants
Weather
Disclaimer
My Caring Plan is not affiliated with the owner or operator(s) of this facility. The information on this page has not been verified or approved by the owner or operator. The information about this facility has been created to the best of our abilities. If you manage this facility please contact us here to claim this listing.
By clicking "Get Exact Costs", you agree to our Partner's Terms of Use. You also consent to receive calls and texts, which may be autodialed, from our partner and our partner's customer communities. Your consent is not a condition to using the service. Please visit our partner's Privacy Policy for information about their privacy practices.
Reviews
General Staff Rating
Care Staff Rating
Food Staff Rating
Cleanliness Rating
Activities and Services Rating
This is the worst place anyone could ever be. My mom was there for month, ended up with a huge bed sore that ended up getting infected because no one cares. My sisters and I were allowed to stay the night with her due to end of life. I would see the nurses sleeping while call lights were going on. One night I had to find a nurse to give my mom her medication, they came out of a back room like they were sleeping and again call lights going on. The nurse Martin is the worst. We had them clean my mom and then asked for her pain medication, he came back and asked us if we seen it. How do you lose morphine? We ended up moving my mom out of there at midnight because they couldn't give her the correct medication because no one could open the medication cabinet. That God the hospice nurse was there to see it all and documented it. They would lie and say she had a bowel mental but when pushed would come back with the correct mediation. They tell you one thing and then change the rules and get upset with because your following the original rules. The socials name is Karen and that fits her perfect. If you hate your family member this is the perfect place. I wouldn't put my dog in this facility. They would let patients sleep In there wheelchairs at night in the hallway. I even had to help a patient the couldn't get out of the eating room because her wheel was stuck, not an employee in site. We would ring the door bell to get in at night and they would sit there and look/ignore us for awhile before opening the door. I could go on and on. DO NOT put anyone you love in this place.
In the Public Interest: Even with my 41 pictures that were date and time-stamped on my camera of my loved one's black and blue bruises all over her face and legs, "falls" in which no one knew what happened, her tooth knocked out, drug errors, the comfort bear lost on the day of admission and sitting in bowel movement for over an hour (the staff quickly said to leave her in it, they couldn't get to her right then), the State DSHS/RCS (Residential Care Services) excused the abuse and neglect for two reasons: 1. The facility's documentation was intact. 2. My loved one had a history of falls. Hallmark Manor knew my loved one had a history of falls when they accepted her...shouldn't they have then watched the resident even more closely? It was implied by RCS that the pictures I took of the bruises were perhaps "edited," I did not take them, it was not my camera, etc. I always signed in at the front desk minutes before I went to take the pictures. These dates/times on the sign-in log and pictures were within minutes of each other. Every excuse in the world was used to discredit my pictures and support the abuse. APS (Adult Protective Services) did an "investigation"- resulting in an "Inconclusive" status. Later, it was determined that APS should not have even done the investigation in the first place. APS did not know this? The investigation should have been done by RCS. When I asked RCS, what more evidence I needed - with my pictures and day-to-day Chronology, I was told I had to be an "eyewitness" to the abuse. Like someone would abuse a resident in front of family...just absurd. I was also told RCS better not learn that I secretly videotaped in the resident room. Elderly Abuse is alive and well in WA State at Hallmark Manor. Our loved one passed 17 days after leaving this place. Please, please, please do not place your loved one here. You might have to live with the hurt our family has to survive every day. I would not wish this suffering on anyone.
Worst worst worst ever. Evil. Predatory. They tried to kidnap my Dad and not let him go home by getting a guardianship attorney so they could get 400$ per day for his care. My dad wasn't allowed to go to the bathroom at night, his clothes were stolen, and he lost 20 pounds in two months at their facility. It took everything I had to get him home but we defeated their evil plan. Stay away from this place!
Hallmark Manor has great therapy and will show great care to your loved ones! The staff is wonderful and you can tell they enjoy working there.
only criticism is - unlike lets say Marionwood in Issaquah which has 8 computers, this place only has 1 computer in their rec-room, For the long term residents this really sucks queuing up for their 30 minutes - they should have at least 10Qty - maybe 15 or 20.
!!!!!!!ATTENTION!!!!!! Please stay away from this place!! My grandma was in this facility and these "nurses" (if that's what you chose to call them) only ENDED my grandma's life FASTER!! Please do NOT put your loved ones thru what I've been through!P.S if I could give this place negative stars trust me I would!!!! No one deserves to be treated the way they treated my granny! It's absolutely sick the way these men and women are treated!
What a bullshit facility. Do yourself a favor and get the hell out before they break your bones, not tell anyone for 5 days, and then kill you like they did my grandmother. The facility is old. It reeks of urine and feces at every corner. Equipment is old and outdated. The staff... don't even get me started on the not give a fuck attitude that EVERY employee has. The management? No better. It's just a damn shame that a facility like this is open to "take care" of our loved ones. Animals in zoos get better treatment and care.
I may have checked in three times to see my Dad in this pathetic facility, but checked him out just as quickly. The evening my Dad was admitted he was given a faulty bed without siderails and an inoperable television. As if the first two things weren't luxurious enough, he was at risk for falling upon standing and yet Hallmark Manor didn't provide him with a walker until I threw a near absolute fit. As harsh as it may sound: I couldn't get my Dad out of there fast enough.
My brother is at Hallmark and is a handful. They have worked around his issues and have helped to secure extra services for him. Some areas of care are excellent: social work, help with red tape paper work for Medicaid, Ruth (His day nurse) is a gem. She is beyond patient and understanding. It's quite a while since I've been able to eat with him. Food was underwhelming and is often late. They had staff from other departments such as PT, floor CNAs help serve meals means that those that are in their rooms wait quite a while for answers to their call buttons at times. The facility has been renovated and upgraded. When my brother was in Rehab, the staff was excellent. I did see one serious issue with a patient having breathing issues in the assisted dining room which was handled very poorly. The first time his oxygen tank had issues, help was prompt and a new one secured. When the second one failed, the assisting person was more concerned with her cell phone. She finally sauntered off to. get another one. When I informed the staff that the gentleman was having issues, I was contradicted. Someone did finally come to help him and he was taken to the hospital. Some of the support staff have accents and are hard to understand. If an elder is hard of hearing or of diminished mental capacity, this is uncomfortable for the resident. Some of their activities have been suspended because of the virus. But some of their activities, especially the music providers are quite good. Bingo is a favorite also. The communication with family is much improved and they have done an excellent job trying to keep the facility virus free. On the whole, changes in the staffing and in the physical plant have improved the facility. It has much to recommend it.
Came to facility with.my elderly mother to visit my grandmother who is dying and is on hospice. Staff refused to allow more that one person a day to visit. Stated policy and Washington state mandates as the reason. I was given that the reason was because they're are Covid positive patient in the facility and that it was an issue of exposing me. If exposing visitors is the reason then why any visitors at all. If the proper precautions are taken to include proper PPE. Then no exposure exist. I know this as I am a 25 year veteran of the Fire Department and understand what constitutes an exposure and what is considered proper PPE. Staff is not wearing N95 rated respiratory protection. I also observed staff within 6' feet of each other smoking cigarettes. I just wanted to see my grandmother and support my elderly mother during her visit. This seems un-caring and my personal observation of staff not following the mandate made by the state makes this very dis-respectful to me my mother and my dying grandmother.
My journey all started with me not understanding with what diabetes is and what it can do to affect your life. I was diagnosed at 35 years old and 240#. I didn't think anything of it, it was almost like it didn't exist. I just kept living my life and selling cars, traveling, and did everything normally. Got to see all the nice places. Then when I came back and retired then I started going blind. I had no idea it was because of my diabetes and thought it could be stress. I see floaters, I've had surgery, nobody can stop me from blinking. I became homeless. My diabetes took ahold of me about 7 months ago and I ended up falling frequently. I was in the hospital for a month before going to Hallmark. A gentlemen came into my room and asked me where I wanted to go and I had no idea, but it turned out to be such a great decision. I came to Hallmark and was in denial of course, not wanting to talk to anyone, and felt like I was better off at home. Now, I am so thankful for being treated here because of all the people I've met. I've bonded with so many people there that have their own rehabilitation stories. And all of the beautiful people that are helping the disabled people. They make you feel like you're on vacation. They give you showers, feed you meals. You can call the kitchen and get whatever you want to eat. Diabetes is my main goal to keep it under control. I can actually see now, my eyesight is coming back. I can see the TV. It got me back out of my shell. I will now stay on my meds, keep dong my exercises,, and keep doing what I need to do at home. Hallmark helped me get where I am today.
My mom was put in this nursing home by the state. This was against her wishes. The workers at this nursing home never returned my calls. A total neglect of care. Vulnerable adults at this facility. She never wanted to be cared for by a nursing home.
I wish I can give 0 star, I left this facility cos of staff members, specially Samantha she is not a nurse even Cna, but I see her she runs 90% the building. she interferes everything. She is not confidential, she talk about someone with others, including patients privacy. nurses in this building are very powerless, cos most of them are immigrants, they can’t do anything she decides everything for them. She start verbally threatening my 1st shift. When I see this I just quit with one day experience, no more to go back. No one called me why I quit. Feel sorry about the employee. I wouldn’t recommend any one to apply in this facility.
Hallmark Manor is completely renovated with new staff and a new look. It’s made great improvements and is a great place for loved ones to stay for long term care or therapy!
They need to serve food hot and ready instead of making plates for them! The boxes they use are not safe for contamination and it also brings germs of residents im the kitchen
My brother is here, I was visiting past weekend and i encountered a nurse by name of Gwen. she is the most unruliest, rude and nastiest person. I dont understand how they allow a person like this to be in charge of helpless people. Its scary and I'm pretty sure if shes this way towards patients/family, shes probaly running away workers. it really worries me not just for my brother but for the other people living here.
My parent currently lives at Hallmark Manor and it keeps me up at night to know that I have nowhere else to move them. The floor staff are overworked because they are severely short staffed constantly and apparently hiring an agency to come in a remedy the situation is an expense the corporation doesn’t wants to spend (something told to me by nursing staff). Great to know my parent lives somewhere that thinks money is more important than making sure all the patients are cared for. Many of the floor staff are rude and don’t care about the residents, the way they talk to the patients is sad. It makes me wonder how they talk to my loved one when I’m not around. Call light wait times vary but are almost always longer than 25 minutes. When they are answered staff is often rude or refuses to assist with the tasks at hand claiming it isn’t their job. The food is ok, it’s not terrible though I know people complain about it. It is as can be expected, nursing home food. The side of the building my parent lives on is very clean and smells nice. I have walked to the other side, that I believe is the true nursing home side and it reminds me of walking into a 1920’s photo of an insane asylum. Patients clogging the hallway with food all over their clothing, asleep in chairs leaning on walls, constant screaming. The smell is often terrible on this side of the building. The smell isn’t from lack of cleaning because housekeeping staff is always present and moving. The smell actually comes from the patients. Staff let’s them sit in soiled diapers, walks past them many times and does nothing.Upper management in this place is laughable. They have a new administrator, Damien, (third administrator this year) that skirts questions and if you complain about anything related to the smell or cleanliness they just say that the building is getting new floors this year and things will get better. I wasn’t aware that new flooring would mean staff will clean and bathe patients more often but in the eyes of that guy apparently it will. He’s definitely not someone who cares for the residents, I’ve seen him interact with them and he looks very uncomfortable. Debbie in the business office appears to be competent, but is very rude, snappy, and lacks warmth. I dread having to speak to her because she is never willing to take the time to explain things thoroughly and if you don’t understand what she’s saying she gets short with you. I find my experience with her disappointing as she is part of the face of the building being that she is in the front.Despite the lack of good patient care, the patients causing the facility to smell due to being neglected and some members of the team being rude there are a few good perks and good eggs, hence my two stars.Even though it stinks, it is clean. Housekeeping is always rocking around, Sophia is the best! Kind, smiles and does a great job.Both ladies in the social services department are wonderful, Ari visits my parent daily and has been helpful in guiding us towards resources to get them out of Hallmark to somewhere they can receive better care. We are currently modifying my home to be able to bring my parent home because after the experience at hallmark I will never let my parent live in a facility again.Ruth the nurse is my rock in the facility. She is caring and hardworking. I see her in the building and know that my parent is receiving quality care that day. She goes the extra mile when caring for my loved one and the rest of her patients from what I can tell.Gabe the care manager is phenomenal. He is always willing to explain things in a way that I am able to understand. I highly appreciate his dedication to his patients and his work.Anyways, I waited about a year to leave a review on this place because I wanted to give it a chance but at this point I’ve seen a lot of terrible things. If you love your family don’t let them live here. If they currently do, try to get them out.
Affordable caring facility - place is a little worn - but the staff are very caring, capable and compassionate - thanks for being there for the rest of us Hallmark !
Their telephone services is the worst I’ve ever had to deal with!
No problems at all to date after several months of my brother being moved from Lifecare. Some of the staff from Lifecare came over to Hallmark and this is great as they are wonderful people.
This place is terrible! My aunt has been living here for about six months . The care is terrible. The nurse Bak is horrible. Treats her and us as family members horribly. We have a huge family problem going on where we have needed her to be off site with us for days at a time where she obviously needs medication to carry with her. Any time we have gone to pick up the carries they make us wait two hours at more. Today the CNA Veronica yelled and slammed things around the whole time and acted as though we were a huge burden. Spoke down on my aunt and to my sister and I as though we were scum. I was disgusted in the interaction and will be looking to speak with the highest person available . I don't write reviews often but want to make sure everyone knows before putting a family member here . Even tonight an elderly woman rolled out and asked the CNA for her medication and she yelled at her telling her she's busy she can wait . Hopefully someone will read this and they will be saved from staying at such an awful facility. I have seen the interactions with staff and other patients and it is heart wrenching . We will be looking for new living arrangements and hopefully I can contact the BBB and get them shut down entirely. In the meantime please spread the word let's shut this place down!!!
Do anybody looking for a review on Hallmark Manor I just want to say I gave it 5 Stars. I was there today to visit my brother and I was very skeptical placing him there because of the bad reviews. I got there and the place was impeccably clean no smell of urine in any of the rooms and I did a good thorough search. Everyone I met there was very friendly very happy the workers were all happy friendly and gone out of their way to help me. I just hope there's a place around is clean and spotless as this when I get old. So please do not believe any of the bad reviews on Hallmark Manor because it is spotless. I went in and talked to the activity director and she was very very nice and explain to me all that they had going on they have computers they have games music de all sorts of fun things to do. Then I went on to the Physical Therapy area and spoke to those folks and they were very very happy and really meant a lot to me what they had to say. All in all it was great it was nice I had lunch the food was awesome my brother Raves about the food and I see why now. So if you're looking for a place to have your folks or your family live this is the place to go I highly highly recommend Hallmark Manor. I do not work for them and no one told me the right this
Disliked when did not tell Joyce Ludwig was died on August 08/19/2016 was daughter she birth to me bring to the world. Happy was not there was at mariners game work
if I can give it no stars I would...and I try not to blame the nurses as this place is suffering a shortage of nurses amongst everything else that is well below par. The management here CLEARLY cares more about profits than for the well-being of their patients. There is no accountability, no plan or structure around helping patients. My grandfather was here for both rehab and hospice care--there is no difference in care as they do nothing different but drug you up on pain killers. I have been here numerous times to visit my grandfather; they do not promptly answer the patients when called, complaints seem to go to no one because there is ZERO accountability. TRULY URGE YOU NOT TO COME HERE OR SEND ANYONE HERE.
Health and Fire Safety Deficiencies
The Center for Medicare and Medicaid report report health and fire safety deficiencies. Some of these deficiencies are more severe than others. The following table shows different levels of severity.
| Scope | |||
|---|---|---|---|
| Severity of Deficiency | Isolated | Pattern | Widespread |
| Immediate jeopardy to resident health or safety | J | K | L |
| Actual harm that is not immediate jeopardy | G | H | I |
| No actual harm with potential for more than minimal harm that is not immediate jeopardy | D | E | F |
| No actual harm with potential for minimal harm | A | B | C |
Fire Safety Deficiencies
| Survey Date | Correction Date | Letter | Category | Description |
|---|---|---|---|---|
| 2022-10-31 | 2022-12-20 | F | Emergency Preparedness Deficiencies | Address subsistence needs for staff and patients. |
| 2022-10-31 | 2022-12-05 | F | Emergency Preparedness Deficiencies | Establish policies and procedures including evacuation. |
| 2022-10-31 | 2022-12-05 | F | Emergency Preparedness Deficiencies | Provide primary/alternate means for communication. |
| 2022-10-31 | 2022-12-20 | F | Emergency Preparedness Deficiencies | Establish methods for sharing information. |
| 2022-10-31 | 2022-12-20 | F | Emergency Preparedness Deficiencies | Provide family notifications of emergency plan. |
| 2022-10-31 | 2022-12-20 | F | Emergency Preparedness Deficiencies | Establish emergency prep training and testing. |
| 2022-10-31 | 2022-12-20 | F | Emergency Preparedness Deficiencies | Establish staff and initial training requirements. |
| 2022-10-31 | 2022-12-05 | F | Emergency Preparedness Deficiencies | Conduct testing and exercise requirements. |
| 2022-10-31 | 2022-12-05 | D | Smoke Deficiencies | Inspect, test, and maintain automatic sprinkler systems. |
| 2022-10-31 | 2022-12-05 | D | Smoke Deficiencies | Install corridor and hallway doors that block smoke. |
| 2022-10-31 | 2022-12-05 | D | Smoke Deficiencies | Install smoke barrier doors that can resist smoke for at least 20 minutes. |
| 2022-10-31 | 2022-12-05 | D | Services Deficiencies | Have properly installed electrical wiring and gas equipment. |
| 2022-10-31 | 2022-12-05 | F | Miscellaneous Deficiencies | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. |
| 2022-10-31 | 2022-12-05 | D | Gas, Vacuum, and Electrical Systems Deficiencies | Ensure proper usage of power strips and extension cords. |
| 2022-10-31 | 2022-12-05 | F | Gas, Vacuum, and Electrical Systems Deficiencies | Ensure that testing and maintenance of electrical equipment is performed. |
| 2022-10-31 | 2022-12-05 | F | Gas, Vacuum, and Electrical Systems Deficiencies | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. |
| 2019-11-04 | 2019-11-29 | E | Egress Deficiencies | Have corridors or aisles that are unobstructed and are at least 8 feet in width. |
| 2019-11-04 | 2019-11-29 | F | Smoke Deficiencies | Provide properly protected cooking facilities. |
| 2019-11-04 | 2019-11-29 | D | Smoke Deficiencies | Have properly installed hallway dispensers for alcohol-based hand rub. |
| 2019-11-04 | 2019-11-05 | F | Smoke Deficiencies | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2019-11-04 | 2019-11-29 | E | Smoke Deficiencies | Inspect, test, and maintain automatic sprinkler systems. |
| 2019-11-04 | 2019-11-05 | E | Smoke Deficiencies | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. |
| 2019-11-04 | 2019-11-29 | F | Services Deficiencies | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
| 2019-11-04 | 2019-11-29 | F | Gas, Vacuum, and Electrical Systems Deficiencies | Ensure proper usage of power strips and extension cords. |
| 2018-09-12 | 2018-10-16 | C | Emergency Preparedness Deficiencies | Establish roles under a Waiver declared by secretary. |
| 2018-09-12 | 2018-10-16 | F | Egress Deficiencies | 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. |
| 2018-09-12 | 2018-10-16 | F | Smoke Deficiencies | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. |
| 2018-09-12 | 2018-10-16 | D | Gas, Vacuum, and Electrical Systems Deficiencies | Ensure proper usage of power strips and extension cords. |
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