Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
NY State Tag
D

Missed Fire Drill for Evening Shift

Morrisville, New York Survey Completed on 01-10-2025

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to conduct a required fire drill for the evening shift during the first quarter of 2024. This deficiency was identified during a Life Safety Code recertification survey conducted from January 8 to January 10, 2025. The facility was unable to provide documentation proving that the evening shift fire drill had been completed for the specified period. During an interview on January 10, 2025, the Maintenance Director acknowledged that the evening shift fire drill was missed and confirmed awareness of the requirement to conduct quarterly fire drills for each shift to ensure the safety of residents and staff.

Plan Of Correction

Plan of Correction: Approved March 5, 2025 Fire drills are up to date. Maintenance Director will preplan quarterly fire drills to ensure no shift is ever missed going forward. All Maintenance Staff have been educated on the importance of fire drills, including maintaining the quarterly schedule per shift. The Director of Environmental Services will monitor compliance with a fire drill audit, with a 100% threshold, and report the results to the Quality Assurance Committee quarterly.

See complete original report
An unhandled error has occurred. Reload 🗙