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

STANLEYTOWN HEALTH AND REHABILITATION CENTER

BASSETT, VA · 120 certified beds · Last Life Safety survey April 18, 2024

CMS Certification Number 495216 · first certified September 1990

Ownership

Operated by LIFEWORKS REHAB · For profit - Partnership

  • Ownership changed May 28, 2021 (change of ownership)to STANLEYTOWN HEALTH & REHABILITATION CENTER from MEDICAL FACILITIES OF AMERICA XLVIII
19
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
7
Tags cited more than once
Across separate surveys
15
Inspection & testing records
Of the citations on file

Position within VA

19 citations — more than 81% 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 3 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 2 months from now. This facility’s last Life Safety survey was April 2024. 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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Which alerts

6 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)

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 19 Life Safety citations above. The Physical Environment Index

  • 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.

This facility19VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility19
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
102021-1162023-0432024-04
Citations at each Life Safety survey
Survey dateCitations
November 19, 202110
April 13, 20236
April 18, 20243

Most-cited tags

Most-cited tags at this facility
K-07612K-05212K-03252K-05112K-09182K-03532K-03632K-03551
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22023-04-13
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22023-04-13
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.22023-04-13
K-0511Have properly installed electrical wiring and gas equipment.22023-04-13
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-04-18
K-0353Inspect, test, and maintain automatic sprinkler systems.22023-04-13
K-0363Install corridor and hallway doors that block smoke.22023-04-13
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-04-18

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Services Deficiencies 4
  • Miscellaneous Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Services Deficiencies4
Miscellaneous Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2

Every citation on file

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

April 18, 2024 — 3 citations

Citations issued on April 18, 2024
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 20, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (May 20, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 20, 2024)

April 13, 2023 — 6 citations

Citations issued on April 13, 2023
TagWhat the surveyor checksStatus
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (June 6, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 2, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 6, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 6, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (June 6, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 6, 2023)

November 19, 2021 — 10 citations

Citations issued on November 19, 2021
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (January 20, 2022)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (January 20, 2022)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Deficient, Provider has date of correction (January 20, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 20, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 20, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (January 20, 2022)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (January 20, 2022)
K-0754Provide properly sized and located linen or trash receptacles.Deficient, Provider has date of correction (January 20, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 8, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 20, 2022)

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