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Fire Safety Inspection & Emergency Preparedness Summary

Mohawk Meadows

1 O'Brien Lane

Lafayette, NJ 07848

(973) 383-6200

Deficiency Category	Inspection Date: 11/19/24 Complaint Reporting Period: 4/1/24 - 3/31/25	Inspection Date: 7/17/23 Complaint Reporting Period: 4/1/23 - 3/31/24	Inspection Date: 12/3/21 Complaint Reporting Period: 4/1/22 - 3/31/23
Emergency Preparedness Deficiencies	0	0	0
Automatic Sprinkler Systems Deficiencies	0	0	0
Building Construction Deficiencies	0	0	0
Services Deficiencies	0	0	0
Corridor Walls and Doors Deficiencies	0	0	0
Egress Deficiencies	0	0	0
Electrical Deficiencies	0	0	0
Emergency Plans and Fire Drills Deficiencies	0	0	0
Fire Alarm Systems Deficiencies	0	0	0
Smoke Deficiencies	0	0	0
Interior Finish Deficiencies	0	0	0
Gas, Vacuum, and Electrical Systems Deficiencies	0	0	0
Hazardous Area Deficiencies	0	0	0
Illumination and Emergency Power Deficiencies	0	0	0
Laboratories Deficiencies	0	0	0
Medical Gases and Anesthetizing Areas Deficiencies	0	0	0
Smoking Regulations Deficiencies	0	0	0
Miscellaneous Deficiencies	0	0	0

Detailed result for inspection on 11/19/24

Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home:	18
Average number of Fire Safety & Emergency Preparedness Deficiencies in New Jersey:	5.7
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States:	4.8

Emergency Preparedness Deficiencies
No Emergency Preparedness Deficiencies were found during this inspection period.

Automatic Sprinkler Systems Deficiencies
No Automatic Sprinkler Systems Deficiencies were found during this inspection period.

Building Construction Deficiencies
No Building Construction Deficiencies were found during this inspection period.

Services Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	11/19/24	12/12/24	2 - Minimal harm or potential for actual harm	Many

Corridor Walls and Doors Deficiencies
No Corridor Walls and Doors Deficiencies were found during this inspection period.

Egress Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Have properly located and lighted "Exit" signs.	11/19/24	12/6/24	2 - Minimal harm or potential for actual harm	Many
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	11/19/24	11/20/24	2 - Minimal harm or potential for actual harm	Few
Have stairways and smokeproof enclosures used as exits that meet safety requirements.	11/19/24	12/6/24	2 - Minimal harm or potential for actual harm	Many

Electrical Deficiencies
No Electrical Deficiencies were found during this inspection period.

Emergency Plans and Fire Drills Deficiencies
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period.

Fire Alarm Systems Deficiencies
No Fire Alarm Systems Deficiencies were found during this inspection period.

Smoke Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Have approved installation, maintenance and testing program for fire alarm systems.	11/19/24	12/9/24	2 - Minimal harm or potential for actual harm	Many
Properly select, install, inspect, or maintain portable fire extinguishes.	11/19/24	12/6/24	2 - Minimal harm or potential for actual harm	Many
Inspect, test, and maintain automatic sprinkler systems.	11/19/24	12/10/24	2 - Minimal harm or potential for actual harm	Many
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	11/19/24	12/10/24	2 - Minimal harm or potential for actual harm	Many
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	11/19/24	12/6/24	2 - Minimal harm or potential for actual harm	Some
Provide properly protected cooking facilities.	11/19/24	12/13/24	2 - Minimal harm or potential for actual harm	Many
Install a fire alarm system that can be heard throughout the facility.	11/19/24	12/10/24	2 - Minimal harm or potential for actual harm	Many
Install corridor and hallway doors that block smoke.	11/19/24	12/6/24	2 - Minimal harm or potential for actual harm	Many

Interior Finish Deficiencies
No Interior Finish Deficiencies were found during this inspection period.

Gas, Vacuum, and Electrical Systems Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Have proper medical gas storage and administration areas.	11/19/24	12/6/24	2 - Minimal harm or potential for actual harm	Many
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	11/19/24	12/15/24	2 - Minimal harm or potential for actual harm	Many
Have generator or other power source capable of supplying service within 10 seconds.	11/19/24	12/10/24	2 - Minimal harm or potential for actual harm	Many
Ensure that testing and maintenance of electrical equipment is performed.	11/19/24	12/6/24	2 - Minimal harm or potential for actual harm	Many

Hazardous Area Deficiencies
No Hazardous Area Deficiencies were found during this inspection period.

Illumination and Emergency Power Deficiencies
No Illumination and Emergency Power Deficiencies were found during this inspection period.

Laboratories Deficiencies
No Laboratories Deficiencies were found during this inspection period.

Medical Gases and Anesthetizing Areas Deficiencies
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period.

Smoking Regulations Deficiencies
No Smoking Regulations Deficiencies were found during this inspection period.

Miscellaneous Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Have simulated fire drills held at unexpected times.	11/19/24	12/6/24	2 - Minimal harm or potential for actual harm	Many
To conduct inspection, testing and maintenance of fire doors by qualified individuals.	11/19/24	12/10/24	2 - Minimal harm or potential for actual harm	Many

Detailed result for inspection on 7/17/23

Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home:	10
Average number of Fire Safety & Emergency Preparedness Deficiencies in New Jersey:	3.7
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States:	4.6

Emergency Preparedness Deficiencies
No Emergency Preparedness Deficiencies were found during this inspection period.

Automatic Sprinkler Systems Deficiencies
No Automatic Sprinkler Systems Deficiencies were found during this inspection period.

Building Construction Deficiencies
No Building Construction Deficiencies were found during this inspection period.

Services Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	7/17/23	8/8/23	2 - Minimal harm or potential for actual harm	Some

Corridor Walls and Doors Deficiencies
No Corridor Walls and Doors Deficiencies were found during this inspection period.

Egress Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	7/17/23	8/8/23	2 - Minimal harm or potential for actual harm	Some
Have properly located and lighted "Exit" signs.	7/17/23	8/7/23	2 - Minimal harm or potential for actual harm	Some
Install proper backup exit lighting.	7/17/23	8/7/23	2 - Minimal harm or potential for actual harm	Some

Electrical Deficiencies
No Electrical Deficiencies were found during this inspection period.

Emergency Plans and Fire Drills Deficiencies
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period.

Fire Alarm Systems Deficiencies
No Fire Alarm Systems Deficiencies were found during this inspection period.

Smoke Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Inspect, test, and maintain automatic sprinkler systems.	7/17/23	8/7/23	2 - Minimal harm or potential for actual harm	Many
Install an approved automatic sprinkler system.	7/17/23	8/1/23	2 - Minimal harm or potential for actual harm	Some
Provide properly protected cooking facilities.	7/17/23	8/7/23	2 - Minimal harm or potential for actual harm	Some
Properly select, install, inspect, or maintain portable fire extinguishes.	7/17/23	7/19/23	2 - Minimal harm or potential for actual harm	Some

Interior Finish Deficiencies
No Interior Finish Deficiencies were found during this inspection period.

Gas, Vacuum, and Electrical Systems Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	7/17/23	8/2/23	2 - Minimal harm or potential for actual harm	Some
Have generator or other power source capable of supplying service within 10 seconds.	7/17/23	8/3/23	2 - Minimal harm or potential for actual harm	Some

Hazardous Area Deficiencies
No Hazardous Area Deficiencies were found during this inspection period.

Illumination and Emergency Power Deficiencies
No Illumination and Emergency Power Deficiencies were found during this inspection period.

Laboratories Deficiencies
No Laboratories Deficiencies were found during this inspection period.

Medical Gases and Anesthetizing Areas Deficiencies
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period.

Smoking Regulations Deficiencies
No Smoking Regulations Deficiencies were found during this inspection period.

Miscellaneous Deficiencies
No Miscellaneous Deficiencies were found during this inspection period.

Detailed result for inspection on 12/3/21

Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home:	5
Average number of Fire Safety & Emergency Preparedness Deficiencies in New Jersey:	1.8
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States:	4.3

Emergency Preparedness Deficiencies
No Emergency Preparedness Deficiencies were found during this inspection period.

Automatic Sprinkler Systems Deficiencies
No Automatic Sprinkler Systems Deficiencies were found during this inspection period.

Building Construction Deficiencies
No Building Construction Deficiencies were found during this inspection period.

Services Deficiencies
No Services Deficiencies were found during this inspection period.

Corridor Walls and Doors Deficiencies
No Corridor Walls and Doors Deficiencies were found during this inspection period.

Egress Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Install emergency lighting that can last at least 1 1/2 hours.	12/3/21	12/13/21	2 - Minimal harm or potential for actual harm	Few

Electrical Deficiencies
No Electrical Deficiencies were found during this inspection period.

Emergency Plans and Fire Drills Deficiencies
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period.

Fire Alarm Systems Deficiencies
No Fire Alarm Systems Deficiencies were found during this inspection period.

Smoke Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Install an approved automatic sprinkler system.	12/3/21	3/23/22	2 - Minimal harm or potential for actual harm	Some
Inspect, test, and maintain automatic sprinkler systems.	12/3/21	12/15/21	2 - Minimal harm or potential for actual harm	Some

Interior Finish Deficiencies
No Interior Finish Deficiencies were found during this inspection period.

Gas, Vacuum, and Electrical Systems Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Have generator or other power source capable of supplying service within 10 seconds.	12/3/21	12/4/21	2 - Minimal harm or potential for actual harm	Some
Ensure proper usage of power strips and extension cords.	12/3/21	12/4/21	2 - Minimal harm or potential for actual harm	Few

Hazardous Area Deficiencies
No Hazardous Area Deficiencies were found during this inspection period.

Illumination and Emergency Power Deficiencies
No Illumination and Emergency Power Deficiencies were found during this inspection period.

Laboratories Deficiencies
No Laboratories Deficiencies were found during this inspection period.

Medical Gases and Anesthetizing Areas Deficiencies
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period.

Smoking Regulations Deficiencies
No Smoking Regulations Deficiencies were found during this inspection period.

Miscellaneous Deficiencies
No Miscellaneous Deficiencies were found during this inspection period.

Complaints and facility-reported incidents in the past 3 years
This nursing home has not been cited for any deficiencies from incidents reported by the nursing home or complaints in the last 3 years.

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