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The survey evaluated the facility's compliance with the Requirements for Participation and Medicare and Medicaid in accordance with Title 42 CFR, 483.90(a) et seq (Life Safety from Fire), specifically concerning Emergency Lighting, Fire Protection, and Sprinkler Systems. The facility was found non-compliant in several areas. The survey report details deficiencies related to emergency lighting duration, the proper functioning of the generator transfer switch, and the condition of sprinkler heads in the kitchen facility. Rectification plans and monitoring processes are outlined, with the Maintenance Director responsible for overseeing the generator transfer switch and the sprinkler system. The report concludes with a listing of deficiencies, the plan of correction, and the completion date for the plan, which is set for 01-31-2025.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/department-of-health-and-human-services-centers-for-medicare-medicaid-services-form-approved/254828/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/department-of-health-and-human-services-centers-for-medicare-medicaid-services-form-approved/254828.png","ImageObject",442,249,{"name":88,"@type":89},"River Wang","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-29","2026-09-13",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the purpose of Form CMS-2567?","Question",{"text":109,"@type":110},"Form CMS-2567 is used for reporting deficiencies found during an unannounced routine Life Safety Code survey conducted by the Department of Health and Human Services Centers for Medicare & Medicaid Services, detailing non-compliance with federal regulations.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What were the main deficiencies noted at NOVA HEALTH AND REHAB?",{"text":114,"@type":110},"The survey identified deficiencies related to Emergency Lighting, including its duration and the requirement for 1-1/2-hour duration, as well as issues with the generator transfer switch not performing as expected during testing. Additionally, the condition of sprinkler heads in the kitchen facility was noted as a concern.",{"name":116,"@type":107,"acceptedAnswer":117},"What is the deadline for NOVA HEALTH AND REHAB to correct the deficiencies?",{"text":118,"@type":110},"The plan of correction, which addresses the noted deficiencies, is required to be completed by January 31, 2025. The Maintenance Director is responsible for overseeing the implementation and monitoring of these corrections.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},254828,1789282209,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":60,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":126,"read_time":73},1099514067438,"https://ap-avatar.wpscdn.com/avatar/100002539ee87300030?x-image-process=image/resize,m_fixed,w_180,h_180&k=1780474512215547542","cbCaidCGONotEnGA","https://ap.wps.com/l/cbCaidCGONotEnGA","pdf",286021,"English","# Department of Health and Human Services Centers for Medicare & Medicaid Services\n## Form CMS-2567","[{\"question\":\"What is the purpose of Form CMS-2567?\",\"answer\":\"Form CMS-2567 is used for reporting deficiencies found during an unannounced routine Life Safety Code survey conducted by the Department of Health and Human Services Centers for Medicare \\u0026 Medicaid Services, detailing non-compliance with federal regulations.\"},{\"question\":\"What were the main deficiencies noted at NOVA HEALTH AND REHAB?\",\"answer\":\"The survey identified deficiencies related to Emergency Lighting, including its duration and the requirement for 1-1/2-hour duration, as well as issues with the generator transfer switch not performing as expected during testing. Additionally, the condition of sprinkler heads in the kitchen facility was noted as a concern.\"},{\"question\":\"What is the deadline for NOVA HEALTH AND REHAB to correct the deficiencies?\",\"answer\":\"The plan of correction, which addresses the noted deficiencies, is required to be completed by January 31, 2025. The Maintenance Director is responsible for overseeing the implementation and monitoring of these corrections.\"}]","DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES FORM APPROVED | PDF"]