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

QUALITY LIFE SERVICES - HENRY CLAY

MARKLEYSBURG, PA · 74 certified beds · Last Life Safety survey July 31, 2025

CMS Certification Number 395906 · first certified July 1993

Ownership

Operated by QUALITY LIFE SERVICES · For profit - Limited Liability company

  • Ownership changed March 1, 2024 (change of ownership)from HENRY CLAY VILLA LP
12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within PA

12 citations — more than 56% of the 656 certified nursing homes in PA. Compared within PA 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 the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (June 2026 to July 2026), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was July 2025. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 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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Which alerts

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 12 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 12 Life Safety citations above. The Physical Environment Index

  • F-0908 Keep all essential equipment working safely.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

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

This facility12PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
72023-0842024-0812025-07
Citations at each Life Safety survey
Survey dateCitations
August 31, 20237
August 14, 20244
July 31, 20251

Most-cited tags

Most-cited tags at this facility
K-03533K-03112K-09181K-09121K-07121K-01001K-03211K-01311
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-07-31
K-0311Have an enclosure around a vertical opening shaft.22024-08-14
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-08-31
K-0912Have power receptacles that are properly grounded.12023-08-31
K-0712Have simulated fire drills held at unexpected times.12024-08-14
K-0100Meet other general requirements.12024-08-14
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-08-31
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.12023-08-31

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Construction Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Emergency Preparedness Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Construction Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Emergency Preparedness Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

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

July 31, 2025 — 1 citation

Citations issued on July 31, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 18, 2025)

August 14, 2024 — 4 citations

Citations issued on August 14, 2024
TagWhat the surveyor checksStatus
K-0100Meet other general requirements.Deficient, Provider has date of correction (September 12, 2024)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (September 12, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 12, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 12, 2024)

August 31, 2023 — 7 citations

Citations issued on August 31, 2023
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (September 7, 2023)
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (September 7, 2023)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (September 7, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 7, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 7, 2023)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (September 7, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 7, 2023)

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