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

CARLIN SPRINGS HEALTH & REHABILITATION

ARLINGTON, VA · 161 certified beds · Last Life Safety survey July 27, 2022

CMS Certification Number 495102 · first certified January 1977

Ownership

Operated by HILL VALLEY HEALTHCARE · Non profit - Corporation

Ownership changed February 1, 2023 (change of ownership)from MANOR CARE OF ARLINGTON VA LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within VA

15 citations — more than 68% of the 289 certified nursing homes in VA. Compared within VA 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 2 citations; the earlier surveys in the window averaged 6.5. 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 (February 2025 to February 2026), and past the point by which nine in ten VA facilities have been surveyed. This facility’s last Life Safety survey was July 2022. Facilities in VA are typically surveyed 31–43 months after the last one (median 37), measured over 125 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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3 inspection-and-testing tags have 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)

5 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 15 Life Safety citations above. The Physical Environment Index

F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

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

Citations on file over three years, compared
Measure	Citations
This facility	15
Median facility in VA	10
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
October 4, 2017	5
February 7, 2019	8
July 27, 2022	2

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2019-02-07
K-0222	Add 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.	2	2022-07-27
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	2	2019-02-07
K-0363	Install corridor and hallway doors that block smoke.	2	2022-07-27
K-0221	Provide rooms that can be unlocked from inside without a key.	1	2017-10-04
K-0919	Meet requirements for the use of electrical equipment.	1	2019-02-07
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	1	2019-02-07
K-0541	Install properly constructed and protected linen or trash chutes.	1	2019-02-07

What the citations cover

Citations by CMS category

Smoke Deficiencies 6
Gas, Vacuum, and Electrical Systems Deficiencies 3
Egress Deficiencies 3
Services Deficiencies 2
Other 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	6
Gas, Vacuum, and Electrical Systems Deficiencies	3
Egress Deficiencies	3
Services Deficiencies	2
Miscellaneous Deficiencies	1

Every citation on file

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

July 27, 2022 — 2 citations

Citations issued on July 27, 2022
Tag	What the surveyor checks	Status
K-0222	Add 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 (September 21, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (September 21, 2022)

February 7, 2019 — 8 citations

Citations issued on February 7, 2019
Tag	What the surveyor checks	Status
K-0222	Add 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 (April 10, 2020)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 12, 2020)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (April 10, 2020)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (March 12, 2020)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (March 12, 2020)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (March 12, 2020)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (March 12, 2020)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (April 10, 2020)

October 4, 2017 — 5 citations

Citations issued on October 4, 2017
Tag	What the surveyor checks	Status
K-0221	Provide rooms that can be unlocked from inside without a key.	Deficient, Provider has date of correction (February 7, 2018)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 7, 2018)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (February 7, 2018)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (February 7, 2018)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (February 7, 2018)

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