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

NORMANDY MANOR OF ROCKY RIVER

ROCKY RIVER, OH · 150 certified beds · Last Life Safety survey July 11, 2024

CMS Certification Number 365926 · first certified June 1993

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

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
6
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within OH

19 citations — more than 60% of the 922 certified nursing homes in OH. Compared within OH 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

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

The latest survey found 8 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: March 2026 to March 2027. This facility’s last Life Safety survey was July 2024. Facilities in OH are typically surveyed 20–32 months after the last one (median 26), measured over 889 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

5 inspection-and-testing tags have 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.

Physical environment (health survey)

4 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 OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.

This facility19OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility19
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
92019-0422022-0482024-07
Citations at each Life Safety survey
Survey dateCitations
April 25, 20199
April 15, 20222
July 11, 20248

Most-cited tags

Most-cited tags at this facility
K-03452K-03632K-03722K-09142K-09182K-07122K-07411K-01311
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-07-11
K-0363Install corridor and hallway doors that block smoke.22024-07-11
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22024-07-11
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22024-07-11
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-07-11
K-0712Have simulated fire drills held at unexpected times.22024-07-11
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12019-04-25
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.12024-07-11

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Miscellaneous Deficiencies 3
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies5
Miscellaneous Deficiencies3
Egress Deficiencies1
Construction Deficiencies1

Every citation on file

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

July 11, 2024 — 8 citations

Citations issued on July 11, 2024
TagWhat the surveyor checksStatus
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (August 22, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 11, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 22, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 22, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 22, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 22, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (August 22, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 22, 2024)

April 15, 2022 — 2 citations

Citations issued on April 15, 2022
TagWhat the surveyor checksStatus
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (May 15, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 15, 2022)

April 25, 2019 — 9 citations

Citations issued on April 25, 2019
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 12, 2019)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 12, 2019)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (June 12, 2019)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 12, 2019)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (June 12, 2019)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (June 12, 2019)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (June 12, 2019)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 12, 2019)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 12, 2019)

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