Based on interview and record review, the facility failed to have a policy in place that addressed the quantity of emergency water to be kept on-site and failed have a supply of emergency water on-site. The facility census was 118.Review of the facility's policy entitled, Emergency Water, undated, showed the following:-To ensure safe water for residents, staff, and visitors during a crisis, our facility maintains:-An emergency water supply that is suitable and accessible;-An emergency water supply consistent with applicable regulatory requirements; and-Methods for water treatment when supplies are low;-A corporation provides emergency water supply in the event it is needed. …
F922
Environmental Deficiencies
Have enough backup water supply for essential areas of the nursing home.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F922 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F922 finding.
The harm level
How severely F922 is cited
0.0% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D612.8% | E612.8% | F3063.8% |
| No harm, potential for minimal | A— | B— | C510.6% |
In the surveyor’s words
What an F922 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observations, record review and interview, the facility failed to ensure an adequate water supply was maintained in case of emergency. The facility emergency water supply policy did not include provisions for how emergency water would be stored including potable and non-potable water, method for distributing water and details for how the facility shall estimate the needed volume of water. This had potential to affect all facility residents. Facility census was 74. Findings include On 01/06/25 at 11:33 A.M. interview with the Administrator revealed the facility emergency water plan was in the survey readiness binder. Review the emergency water plan revealed it included steps to take in case of a short term water shut off including boiling water and flushing water systems. …
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