Life Safety Index

Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

BRUCE MCCANDLESS CO STATE VETERANS NURSING HOME

FLORENCE, CO · 105 certified beds · Last Life Safety survey January 29, 2026

CMS Certification Number 065394 · first certified October 2008

Ownership

Independently operated (no chain recorded by CMS) · Government - State

No change of ownership on CMS record since January 1, 2016, when the records begin.

19
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within CO

19 citations — more than 58% of the 210 certified nursing homes in CO. Compared within CO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 0 citations; the earlier surveys in the window averaged 9.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens July 2027 — about 9 months from now. This facility’s last Life Safety survey was January 2026. Facilities in CO are typically surveyed 17–24 months after the last one (median 19), measured over 177 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 19 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 19 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in CO, and nationally. Surveyors differ markedly between states, so the CO figure is the meaningful one.

This facility19CO median16National median11
Citations on file over three years, compared
MeasureCitations
This facility19
Median facility in CO16
Median facility nationally11

Survey history

Citations at each Life Safety survey
162020-0232024-0602026-01
Citations at each Life Safety survey
Survey dateCitations
February 27, 202016
June 6, 20243
January 29, 20260

Most-cited tags

Most-cited tags at this facility
K-03532K-02311K-02931K-03631K-02411E-00301E-00241K-02331
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-06-06
K-0231Provide large enough exits.12020-02-27
K-0293Have properly located and lighted "Exit" signs.12020-02-27
K-0363Install corridor and hallway doors that block smoke.12020-02-27
K-0241Have correct number of accessible exits for each story.12020-02-27
E-0030List the names and contact information of those in the facility.12020-02-27
E-0024Establish policies and procedures for volunteers.12020-02-27
K-0233Install resident room doors of proper design and width.12020-02-27

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Egress Deficiencies 6
  • Emergency Preparedness Deficiencies 4
  • Miscellaneous Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Egress Deficiencies6
Emergency Preparedness Deficiencies4
Miscellaneous Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 6, 2024 — 3 citations

Citations issued on June 6, 2024
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (July 25, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (September 30, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 4, 2024)

February 27, 2020 — 16 citations

Citations issued on February 27, 2020
TagWhat the surveyor checksStatus
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (August 13, 2020)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (August 13, 2020)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (August 13, 2020)
K-0231Provide large enough exits.Deficient, Provider has date of correction (September 18, 2020)
K-0233Install resident room doors of proper design and width.Deficient, Provider has date of correction (September 18, 2020)
K-0241Have correct number of accessible exits for each story.Deficient, Provider has date of correction (September 18, 2020)
K-0261Have properly spaced exits within rooms.Deficient, Provider has date of correction (September 18, 2020)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (September 18, 2020)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (September 24, 2020)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (September 18, 2020)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 29, 2020)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 16, 2020)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (September 18, 2020)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 18, 2020)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (September 24, 2020)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 16, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.