Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CEN
GEORGETOWN, OH · 100 certified beds · Last Life Safety survey June 27, 2024
CMS Certification Number 365786 · first certified April 1990
Ownership
Operated by CROWN HEALTHCARE GROUP · For profit - Corporation
- Ownership changed September 20, 2018 (change of ownership)to VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER from COVENANT CARE OHIO, INC.
Position within OH
10 citations — more than 23% of the 922 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 6 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window is open now: February 2026 to February 2027. This facility’s last Life Safety survey was June 2024. Facilities in OH are typically surveyed 20–32 months after the last one (median 26), measured over 889 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 three years in Maryland. 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 ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
1 of the 10 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)
2 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 10 Life Safety citations above. The Physical Environment Index
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 | 10 |
| Median facility in OH | 16 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| March 12, 2020 | 1 |
| July 22, 2021 | 3 |
| June 27, 2024 | 6 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 2 | 2021-07-22 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2024-06-27 |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | 1 | 2024-06-27 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2024-06-27 |
| K-0344 | Have an alternate power supply for its alarm system. | 1 | 2021-07-22 |
| E-0039 | Conduct testing and exercise requirements. | 1 | 2024-06-27 |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 1 | 2024-06-27 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2021-07-22 |
What the citations cover
- Smoke Deficiencies 6
- Egress Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 1
- Emergency Preparedness Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 6 |
| Egress Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
| Emergency Preparedness Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
June 27, 2024 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (July 19, 2024) |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Deficient, Provider has date of correction (July 19, 2024) |
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (July 19, 2024) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (July 19, 2024) |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (July 19, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (July 19, 2024) |
July 22, 2021 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0344 | Have an alternate power supply for its alarm system. | Deficient, Provider has date of correction (August 15, 2021) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (August 15, 2021) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (August 15, 2021) |
March 12, 2020 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Waiver has been granted (July 31, 2020) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.