Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
BRETHREN CARE VILLAGE HEALTH CARE CENTER
ASHLAND, OH · 79 certified beds · Last Life Safety survey June 25, 2026
CMS Certification Number 366166 · first certified January 1999
Ownership
Independently operated (no chain recorded by CMS) · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within OH
7 citations — more than 10% 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
The latest survey found 2 citations; 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 January 2028 — about 15 months from now. This facility’s last Life Safety survey was June 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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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
1 of the 7 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
3 physical-environment citations 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 7 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 7 |
| Median facility in OH | 16 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| September 26, 2019 | 1 |
| September 26, 2022 | 4 |
| June 25, 2026 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 2 | 2026-06-25 |
| K-0161 | Use approved construction type or materials. | 1 | 2019-09-26 |
| K-0922 | Meet requirements for the use and maintenance of medical gas equipment. | 1 | 2022-09-26 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2022-09-26 |
| E-0039 | Conduct testing and exercise requirements. | 1 | 2022-09-26 |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | 1 | 2026-06-25 |
What the citations cover
- Smoke Deficiencies 4
- Emergency Preparedness Deficiencies 1
- Gas, Vacuum, and Electrical Systems Deficiencies 1
- Construction Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 4 |
| Emergency Preparedness Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
| Construction Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
June 25, 2026 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (July 16, 2026) |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | Deficient, Provider has date of correction (August 10, 2026) |
September 26, 2022 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (November 6, 2022) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (November 6, 2022) |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (November 6, 2022) |
| K-0922 | Meet requirements for the use and maintenance of medical gas equipment. | Deficient, Provider has date of correction (November 6, 2022) |
September 26, 2019 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (October 18, 2019) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.