Freemans Assisted Living LLC

The facility failed to ensure the sensitivity of smoke detectors was checked according to NFPA 72.

The facility failed to ensure resident room doors in a building that does not have fire sprinklers were solid doors that were at least 1-3/4 inches thick or had an opening protection rating of at least 20 minutes, that the doors were self-closing or automatic-closing, and that the doors would latch in their frames.

The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.

The provider failed to post the facility license as required.

The facility failed to store oxygen provided by the facility in a safe and sanitary manner.

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

The facility failed to include a section addressing direction and control in the emergency preparedness and response plan.

The facility failed to have a program to inspect, test, and maintain the fire alarm system and keep records of inspection, testing, and maintenance of the fire alarm system.

The facility failed to ensure means of escape met the referenced codes and standards.

The facility's plan failed to include a process that ensures communication with the EMC.

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