Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
CHESAPEAKE HEALTH AND REHABILITATION CENTER
CHESAPEAKE, VA · 180 certified beds · Last Life Safety survey December 14, 2021
CMS Certification Number 495108 · first certified January 1978
Ownership
Operated by LIFEWORKS REHAB · For profit - Individual
- Ownership changed May 28, 2021 (change of ownership)to CHESAPEAKE HEALTH & REHABILITATION CENTER from MEDICAL FACILITIES OF AMERICA VII & XIV
Position within VA
27 citations — more than 94% 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
The latest survey found 12 citations; the earlier surveys in the window averaged 7.5. 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 (July 2024 to July 2025), and past the point by which nine in ten VA facilities have been surveyed. This facility’s last Life Safety survey was December 2021. 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.
Emergency preparedness
9 of the 27 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 27 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-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-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in VA, and nationally. Surveyors differ markedly between states, so the VA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 27 |
| Median facility in VA | 10 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| September 8, 2017 | 11 |
| June 10, 2019 | 4 |
| December 14, 2021 | 12 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 2 | 2021-12-14 |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 2 | 2019-06-10 |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 2 | 2019-06-10 |
| K-0923 | Have proper medical gas storage and administration areas. | 2 | 2019-06-10 |
| E-0007 | Address patient/client population and determine types of services needed. | 1 | 2021-12-14 |
| E-0030 | List the names and contact information of those in the facility. | 1 | 2021-12-14 |
| E-0029 | Develop a communication plan. | 1 | 2021-12-14 |
| K-0919 | Meet requirements for the use of electrical equipment. | 1 | 2017-09-08 |
What the citations cover
- Emergency Preparedness Deficiencies 9
- Smoke Deficiencies 7
- Gas, Vacuum, and Electrical Systems Deficiencies 4
- Egress Deficiencies 3
- Other 4
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 9 |
| Smoke Deficiencies | 7 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 4 |
| Egress Deficiencies | 3 |
| Miscellaneous Deficiencies | 2 |
| Construction Deficiencies | 1 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
December 14, 2021 — 12 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (January 27, 2022) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (January 27, 2022) |
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (January 27, 2022) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (January 27, 2022) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (January 27, 2022) |
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (January 27, 2022) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (January 27, 2022) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (January 27, 2022) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (January 27, 2022) |
| K-0344 | Have an alternate power supply for its alarm system. | Deficient, Provider has date of correction (June 24, 2022) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (June 24, 2022) |
| K-0915 | Have proper power supply for life support equipment. | Waiver has been granted (June 24, 2022) |
June 10, 2019 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0100 | Meet other general requirements. | Deficient, Provider has date of correction (August 13, 2019) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (August 13, 2019) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (August 13, 2019) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (August 13, 2019) |
September 8, 2017 — 11 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (October 31, 2017) |
| K-0221 | Provide rooms that can be unlocked from inside without a key. | Deficient, Provider has date of correction (October 31, 2017) |
| 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 (October 31, 2017) |
| K-0347 | Properly provide smoke detection systems in areas open to corridors. | Deficient, Provider has date of correction (October 31, 2017) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (October 31, 2017) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (October 31, 2017) |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | Deficient, Provider has date of correction (October 31, 2017) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (October 31, 2017) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (October 31, 2017) |
| K-0919 | Meet requirements for the use of electrical equipment. | Deficient, Provider has date of correction (October 31, 2017) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (October 31, 2017) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.