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

OAKWOOD HEALTH AND REHAB CENTER

BEDFORD, VA · 111 certified beds · Last Life Safety survey July 26, 2023

CMS Certification Number 495046 · first certified May 1967

Ownership

Operated by HILL VALLEY HEALTHCARE · For profit - Corporation

  • Ownership changed November 1, 2021 (change of ownership)from BEDFORD MEMORIAL HOSPITAL
11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within VA

11 citations — more than 51% 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

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

The latest survey found 5 citations; the earlier surveys in the window averaged 3. 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 July 2023. 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

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 11 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.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.

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 facility11VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
12020-0252022-0552023-07
Citations at each Life Safety survey
Survey dateCitations
February 6, 20201
May 19, 20225
July 26, 20235

Most-cited tags

Most-cited tags at this facility
K-07112K-03631K-05311K-02931K-03511K-03251K-07611K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0711Provide a written emergency evacuation plan.22023-07-26
K-0363Install corridor and hallway doors that block smoke.12022-05-19
K-0531Have elevators that firefighters can control in the event of a fire.12023-07-26
K-0293Have properly located and lighted "Exit" signs.12022-05-19
K-0351Install an approved automatic sprinkler system.12020-02-06
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.12023-07-26
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-07-26
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-07-26

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Miscellaneous Deficiencies 3
  • Construction Deficiencies 1
  • Egress Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Miscellaneous Deficiencies3
Construction Deficiencies1
Egress Deficiencies1
Services Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

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

July 26, 2023 — 5 citations

Citations issued on July 26, 2023
TagWhat the surveyor checksStatus
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (September 11, 2023)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (September 11, 2023)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (September 11, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (October 24, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 11, 2023)

May 19, 2022 — 5 citations

Citations issued on May 19, 2022
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (July 15, 2022)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (July 15, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 15, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 15, 2022)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (July 15, 2022)

February 6, 2020 — 1 citation

Citations issued on February 6, 2020
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (November 12, 2020)

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