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600 E 1ST ST

SPRING VALLEY, IL 61362

PHYSICAL ENVIRONMENT

Tag No.: A0700

Based on random observation during the survey walk-through, staff interview, and document review during the Life Safety portion of a Re-Certification Survey conducted on July 24-26, 2012, the surveyor finds that the facility failed to provide and maintain a safe environment for patients and staff.

This is evidenced by the number, severity, and variety of Life Safety Code deficiencies that were found. Also see A710.

LIFE SAFETY FROM FIRE

Tag No.: A0710

Based on random observation during the survey walk-through, staff interview, and document review during the Life Safety portion of a Re-Certification Survey conducted on July 24-26, 2012, the surveyor finds that the facility does not comply with the applicable provisions of the 2000 Edition of the NFPA 101 Life Safety Code.
See the Life Safety Code deficiencies identified with K-Tags on the HCFA/CMS Form 2567, dated 7/26/2012.