Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ANDOVER VILLAGE RETIREMENT COMMUNITY

ANDOVER, OH · 99 certified beds · Last Life Safety survey July 23, 2026

CMS Certification Number 365411 · first certified April 1979

Ownership

Operated by VRC MANAGEMENT · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

6
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
0
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within OH

6 citations — more than 8% of the 924 certified nursing homes in OH. Compared within OH rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 1 citation; the earlier surveys on file averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2028 — about 16 months from now. This facility’s last Life Safety survey was July 2026. Facilities in OH are typically surveyed 19–32 months after the last one (median 26), measured over 985 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations in CMS's current file

Compared with the median facility in OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.

This facility6OH median16National median11
Citations in CMS's current file, compared
MeasureCitations
This facility6
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
12022-0542024-0712026-07
Citations at each Life Safety survey
Survey dateCitations
May 12, 20221
July 8, 20244
July 23, 20261

Most-cited tags

Most-cited tags at this facility
K-03721K-02221K-09181K-03611K-03511K-09271
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12024-07-08
K-0222Add 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.12022-05-12
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-07-08
K-0361Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.12024-07-08
K-0351Install an approved automatic sprinkler system.12026-07-23
K-0927Have proper fire barriers, ventilation and signs for the transfilling of oxygen.12024-07-08

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 23, 2026 — 1 citation

Citations issued on July 23, 2026
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 28, 2026)

July 8, 2024 — 4 citations

Citations issued on July 8, 2024
TagWhat the surveyor checksStatus
K-0361Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.Deficient, Provider has date of correction (August 5, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 5, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 5, 2024)
K-0927Have proper fire barriers, ventilation and signs for the transfilling of oxygen.Deficient, Provider has date of correction (August 5, 2024)

May 12, 2022 — 1 citation

Citations issued on May 12, 2022
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (June 1, 2022)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.