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

CLARKSVILLE HEALTH & REHAB CENTER

CLARKSVILLE, VA · 168 certified beds · Last Life Safety survey November 30, 2022

CMS Certification Number 495379 · first certified October 2004

Ownership

Operated by SABER HEALTHCARE GROUP · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

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

23 citations — more than 88% 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 10 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?

Past the typical window (July 2025 to July 2026). Most VA facilities have been surveyed by November 2026. This facility’s last Life Safety survey was November 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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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.

Emergency preparedness

1 of the 23 citations on file is 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

E-0037

Physical environment (health survey)

4 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 23 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-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	23
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
January 31, 2019	4
April 1, 2021	9
November 30, 2022	10

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-0363	Install corridor and hallway doors that block smoke.	2	2022-11-30
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2022-11-30
K-0511	Have properly installed electrical wiring and gas equipment.	2	2022-11-30
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2022-11-30
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2022-11-30
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	2	2022-11-30
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub.	1	2022-11-30
K-0324	Provide properly protected cooking facilities.	1	2021-04-01

What the citations cover

Citations by CMS category

Smoke Deficiencies 8
Services Deficiencies 4
Gas, Vacuum, and Electrical Systems Deficiencies 4
Egress Deficiencies 3
Other 4

Citations by CMS category
Category	Citations
Smoke Deficiencies	8
Services Deficiencies	4
Gas, Vacuum, and Electrical Systems Deficiencies	4
Egress Deficiencies	3
Miscellaneous Deficiencies	2
Emergency Preparedness Deficiencies	1
Construction Deficiencies	1

Every citation on file

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

November 30, 2022 — 10 citations

Citations issued on November 30, 2022
Tag	What the surveyor checks	Status
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (January 27, 2023)
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 (March 27, 2023)
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub.	Deficient, Provider has date of correction (January 27, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (January 27, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 27, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (January 27, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (January 27, 2023)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (January 27, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (March 27, 2023)
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	Deficient, Provider has date of correction (January 27, 2023)

April 1, 2021 — 9 citations

Citations issued on April 1, 2021
Tag	What the surveyor checks	Status
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (May 12, 2021)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (June 7, 2021)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (June 7, 2021)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (June 7, 2021)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (June 7, 2021)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (June 7, 2021)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (July 19, 2021)
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 (June 7, 2021)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (June 7, 2021)

January 31, 2019 — 4 citations

Citations issued on January 31, 2019
Tag	What the surveyor checks	Status
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (April 8, 2019)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 8, 2019)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (April 8, 2019)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (April 8, 2019)

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