COUNTRY VILLA REHABILITATION CENTER
Address
340 SOUTH ALVARADO STREET
LOS ANGELES, CA 90057
(213) 484-9730
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 161
- Certified Beds: 180
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Both Resident and Family Counseling Services
- This Facility is Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Country Villa Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation Plus Extensive Services
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-16 | 11.4% |
ADL Index Range: 2-10 | 3.3% |
Total Percent: | 14.7% |
Very High Rehabilitation Plus Extensive Services
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-16 | 0.5% |
Total Percent: | 0.5% |
High Rehabilitation Plus Extensive Services
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-16 | 1.4% |
Total Percent: | 1.4% |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 28.5% |
ADL Index Range: 6-10 | 22.6% |
ADL Index Range: 0-5 | 7.6% |
Total Percent: | 58.6% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 1.5% |
ADL Index Range: 6-10 | 1.6% |
ADL Index Range: 0-5 | 6.1% |
Total Percent: | 9.2% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 2.1% |
ADL Index Range: 6-10 | 2.6% |
Total Percent: | 4.7% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 0.09% |
ADL Index Range: 6-10 | 0.8% |
ADL Index Range: 0-5 | 0.6% |
Total Percent: | 1.4% |
Extensive Services
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16 - Tracheostomy care and ventilator/respirator | 0.3% |
ADL Index Range: 2-16 - Tracheostomy care or ventilator/respirator | 5.8% |
ADL Index Range: 2-16 - Isolation for active infectious disease | 0.9% |
Total Percent: | 7.0% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14 - No Signs of depression | 0.09% |
Total Percent: | 0.09% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14 - No Signs of depression | 0.7% |
ADL Index Range: 2-5 - No Signs of depression | 0.3% |
Total Percent: | 1.0% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5 - No Signs of depression | 0.1% |
ADL Index Range: 0-1 - No Signs of depression | 1.2% |
Total Percent: | 1.4% |
Rating Details For Country Villa Rehabilitation Center
Nursing Staff -
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
Nursing Hours Per Resident Per Day | Reported | Expected |
Registered Nurse (RN) Hours | 1 Hour and 4 Minutes | 1 Hour and 25 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 20 Minutes | 52 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 42 Minutes | 2 Hours and 33 Minutes |
Total Licensed Nurse Hours | 2 Hours and 25 Minutes | 2 Hours and 17 Minutes |
Total Nurse Hours | 5 Hours and 7 Minutes | 4 Hours and 50 Minutes |
Quality of Care -
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | California Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 42% | 87% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 23% | 86% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 5% | 9% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 7% | 8% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 5% | 5% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 5% | 7% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | - | 4% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 9% | 8% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 75% | 58% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 15% | 10% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 4% | 3% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 12% | 12% |
Percent of Long-Stay Residents Who Were Physically Restrained | 8% | 7% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 10% | 11% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 21% | 83% |
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 6% | 81% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 17% | 23% |
Percent of Short-Stay Residents Who Have Pressure Sores | 24% | 17% |
Percent of Short-Stay Residents Who Have Delirium | 1% | 2% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/13/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Give or Get Lab Tests to Meet the Needs of Residents.
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Keep Accurate and Appropriate Medical Records.
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Give or Get Lab Tests to Meet the Needs of Residents.
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Environmental
Keep Safe, Clean and Homelike Surroundings.
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Provide Needed Housekeeping and Maintenance.
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Keep Sound Levels Comfortable.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public.
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Keep All Essential Equipment Working Safely.
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Have a Program to Keep Infection from Spreading.
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Keep All Essential Equipment Working Safely.
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Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
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Nutrition and Dietary
Make Sure That Residents Are Well Nourished.
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Provide Food in a Way That Meets a Resident's Needs.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Properly Mark Drugs and Other Similar Products.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Quality Care
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
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Provide Activities to Meet the Needs of Each Resident.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Make Sure That Each Resident's Nutritional Needs Were Met.
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Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
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Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
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Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor.
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Resident Rights
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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Keep Each Resident's Personal and Medical Records Private and Confidential.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Make Sure That Each Resident Has the Right to Join in Social, Religious, and Community Activities.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Country Villa Rehabilitation Center, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Formal Complaints | Degree of Harm | Residents Affected |
Administration
1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator.
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Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Country Villa Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 07/08/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Properly Working Alarms on Sprinkler Valves.
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An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Service Equipment
An Elevator That Firefighters Can Control in the Event of a Fire.
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Properly Protected Cooking Facilities.
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Properly Constructed Linen or Trash Chutes.
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An Elevator That Firefighters Can Control in the Event of a Fire.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Exits and Egress
Exits That Are Accessible at All Times.
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Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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A Fire Alarm System That Can Be Heard Throughout the Facility.
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Properly Maintained Smoke Detectors.
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Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Interior Finish
Fire-Resistant Room Wall Surfaces.
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Fire-Resistant Room Wall Surfaces.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Fire Safety Features Required by Current Fire Safety Codes.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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Vertical Openings
Proper Stairway Enclosures and Vertical Shafts.
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Proper Stairway Enclosures and Vertical Shafts.
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