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

ROSE HILL HEALTH AND REHAB

BERRYVILLE, VA · 120 certified beds · Last Life Safety survey June 29, 2023

CMS Certification Number 495140 · first certified August 1984

Ownership

Operated by TRIO HEALTHCARE · For profit - Corporation

  • Ownership changed December 16, 2016 (change of ownership)from GGNSC BERRYVILLE LLC
6
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within VA

6 citations — more than 26% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 2. 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: January 2026 to January 2027. This facility’s last Life Safety survey was June 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

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

2 of the 6 citations on file are 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)

6 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 6 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-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.

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 facility6VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
22020-0322021-1222023-06
Citations at each Life Safety survey
Survey dateCitations
March 10, 20202
December 2, 20212
June 29, 20232

Most-cited tags

Most-cited tags at this facility
K-09182K-02221E-00261K-03531E-00151
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22023-06-29
K-0222Add 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.12023-06-29
E-0026Establish roles under a Waiver declared by secretary.12020-03-10
K-0353Inspect, test, and maintain automatic sprinkler systems.12021-12-02
E-0015Address subsistence needs for staff and patients.12020-03-10

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
  • Smoke Deficiencies 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1
Smoke Deficiencies1

Every citation on file

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

June 29, 2023 — 2 citations

Citations issued on June 29, 2023
TagWhat the surveyor checksStatus
K-0222Add 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, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 21, 2023)

December 2, 2021 — 2 citations

Citations issued on December 2, 2021
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 27, 2021)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 27, 2021)

March 10, 2020 — 2 citations

Citations issued on March 10, 2020
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (April 8, 2020)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (April 8, 2020)

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