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

WESTMORELAND REHABILITATION & HEALTHCARE CENTER

COLONIAL BEACH, VA · 66 certified beds · Last Life Safety survey February 5, 2026

CMS Certification Number 495268 · first certified September 1992

Ownership

Operated by MARQUIS HEALTH SERVICES · For profit - Individual

Ownership changed December 30, 2019 (change of ownership)to WESTMORELAND REHABILITATION AND HEALTHCARE CENTER from MARY WASHINGTON CONVALESCENT & NURSING CARE LLC

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

16 citations — more than 72% 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 1 citation; the earlier surveys in the window averaged 5. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens September 2028 — about 23 months from now. This facility’s last Life Safety survey was February 2026. 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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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

3 of the 16 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 16 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-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

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	16
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
February 7, 2019	4
February 17, 2022	10
June 8, 2023	1
February 5, 2026	1

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	2022-02-17
K-0293	Have properly located and lighted "Exit" signs.	1	2019-02-07
K-0353	Inspect, test, and maintain automatic sprinkler systems.	1	2023-06-08
E-0024	Establish policies and procedures for volunteers.	1	2022-02-17
K-0911	Meet requirements for the installation and maintenance of electrical systems.	1	2022-02-17
E-0015	Address subsistence needs for staff and patients.	1	2022-02-17
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	1	2022-02-17
K-0373	Have enough space near smoke barriers to protect residents.	1	2022-02-17

What the citations cover

Citations by CMS category

Smoke Deficiencies 6
Emergency Preparedness Deficiencies 3
Gas, Vacuum, and Electrical Systems Deficiencies 3
Egress Deficiencies 2
Other 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	6
Emergency Preparedness Deficiencies	3
Gas, Vacuum, and Electrical Systems Deficiencies	3
Egress Deficiencies	2
Miscellaneous Deficiencies	1
Services Deficiencies	1

Every citation on file

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

February 5, 2026 — 1 citation

Citations issued on February 5, 2026
Tag	What the surveyor checks	Status
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has plan of correction

June 8, 2023 — 1 citation

Citations issued on June 8, 2023
Tag	What the surveyor checks	Status
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (July 6, 2023)

February 17, 2022 — 10 citations

Citations issued on February 17, 2022
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (March 18, 2022)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (March 18, 2022)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (March 18, 2022)
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 (April 26, 2022)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (April 26, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 26, 2022)
K-0373	Have enough space near smoke barriers to protect residents.	Deficient, Provider has date of correction (April 26, 2022)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (April 26, 2022)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (April 26, 2022)
K-0917	Ensure electrical receptacles or cover plates have distinctive color or marking.	Deficient, Provider has date of correction (April 26, 2022)

February 7, 2019 — 4 citations

Citations issued on February 7, 2019
Tag	What the surveyor checks	Status
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (May 3, 2019)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (May 3, 2019)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (May 3, 2019)
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 (May 3, 2019)

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