The Philomena Assisted Living and Memory Care

2025 · 12 cited

1. The facility failed to keep documentation about the fire alarm system onsite at the facility.

   Life Safety CodeCited Oct 7, 2025Corrected —

2. The facility failed to inspect, test, and maintain fire sprinkler system components.

   Life Safety CodeCited Oct 7, 2025Corrected —

3. The facility failed to keep documentation about the fire sprinkler system onsite at the facility.

   Life Safety CodeCited Oct 7, 2025Corrected —

4. The facility failed to train staff in the use of fire extinguishers, failed to inspect and maintain fire extinguishers, and failed to keep records of inspection and maintenance of fire extinguishers.

   Life Safety CodeCited Oct 7, 2025Corrected —

5. The facility failed to provide smoke compartmentation where required.

   Life Safety CodeCited Oct 7, 2025Corrected —

6. The facility's plan failed to document the contact information for the EMC for the area.

   Life Safety CodeCited Oct 7, 2025Corrected —

7. The facility failed to provide the required emergency preparedness and response plan training and conduct drills.

   Life Safety CodeCited Oct 7, 2025Corrected —

8. The facility failed to conduct required fire drills and document fire drills on the required form.

   Health VisitCited Jun 9, 2025Corrected —

9. The facility failed to keep current and complete personnel records.

   Health VisitCited Jun 9, 2025Corrected —

10. The facility's plan failed to include the location of a current list of the facility's resident population.

    Health VisitCited Jun 9, 2025Corrected —

11. The facility failed to maintain a current printed copy of the plan in a location accessible to all staff, residents, and residents legally authorized representatives

    Health VisitCited Jun 9, 2025Corrected —

12. The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.

    Health VisitCited Jun 9, 2025Corrected —