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

Lgar Health And Rehabilitation

TURTLE CREEK, PA · 60 certified beds · Last Life Safety survey October 18, 2024

CMS Certification Number 395873 · first certified January 1992

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

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

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within PA

9 citations — more than 43% 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

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 1.5. 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 (August 2025 to October 2025), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was October 2024. 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.

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 9 Life Safety citations above. The Physical Environment Index

  • 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 facility9PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
22022-1112023-1062024-10
Citations at each Life Safety survey
Survey dateCitations
November 18, 20222
October 26, 20231
October 18, 20246

Most-cited tags

Most-cited tags at this facility
K-03533K-03241K-09181K-05211K-09121K-03741K-07121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32024-10-18
K-0324Provide properly protected cooking facilities.12024-10-18
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-10-18
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12024-10-18
K-0912Have power receptacles that are properly grounded.12022-11-18
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12024-10-18
K-0712Have simulated fire drills held at unexpected times.12024-10-18

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Miscellaneous Deficiencies 1
  • Services Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies2
Miscellaneous Deficiencies1
Services Deficiencies1

Every citation on file

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

October 18, 2024 — 6 citations

Citations issued on October 18, 2024
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 30, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 30, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (November 30, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (November 30, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 30, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 30, 2024)

October 26, 2023 — 1 citation

Citations issued on October 26, 2023
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 23, 2023)

November 18, 2022 — 2 citations

Citations issued on November 18, 2022
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 16, 2022)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (December 16, 2022)

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