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

OHIO LIVING CAPE MAY

WILMINGTON, OH · 23 certified beds · Last Life Safety survey June 1, 2023

CMS Certification Number 366415 · first certified May 2014

Ownership

Operated by OHIO LIVING COMMUNITIES · Non profit - Corporation

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

6
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within OH

6 citations — more than 7% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (January 2025 to January 2026), and past the point by which nine in ten OH facilities have been surveyed. This facility’s last Life Safety survey was June 2023. 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

Physical environment (health survey)

2 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 6 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.

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 facility6OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
22019-0222021-0622023-06
Citations at each Life Safety survey
Survey dateCitations
February 21, 20192
June 10, 20212
June 1, 20232

Most-cited tags

Most-cited tags at this facility
K-09231K-01311K-07111K-07611K-03511K-03721
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0923Have proper medical gas storage and administration areas.12019-02-21
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.12023-06-01
K-0711Provide a written emergency evacuation plan.12021-06-10
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-06-01
K-0351Install an approved automatic sprinkler system.12021-06-10
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12019-02-21

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 2
  • Miscellaneous Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Construction Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies2
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1
Construction Deficiencies1

Every citation on file

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

June 1, 2023 — 2 citations

Citations issued on June 1, 2023
TagWhat the surveyor checksStatus
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Waiver has been granted (September 1, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 5, 2023)

June 10, 2021 — 2 citations

Citations issued on June 10, 2021
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (July 16, 2021)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (July 16, 2021)

February 21, 2019 — 2 citations

Citations issued on February 21, 2019
TagWhat the surveyor checksStatus
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 28, 2019)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 28, 2019)

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