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

PINEY FOREST HEALTH AND REHABILITATION CENTER

DANVILLE, VA · 120 certified beds · Last Life Safety survey January 30, 2025

CMS Certification Number 495107 · first certified January 1978

Ownership

Operated by LIFEWORKS REHAB · For profit - Corporation

  • Ownership changed May 28, 2021 (change of ownership)to PINEY FOREST HEALTH & REHABILITATION CENTER from MEDICAL FACILITIES OF AMERICA VIII
13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within VA

13 citations — more than 59% 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 3 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens September 2027 — about 11 months from now. This facility’s last Life Safety survey was January 2025. 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

2 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.

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 13 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-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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 facility13VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
32019-0272022-0432025-01
Citations at each Life Safety survey
Survey dateCitations
February 7, 20193
April 15, 20227
January 30, 20253

Most-cited tags

Most-cited tags at this facility
K-03632K-07612K-05211K-02931K-05111K-03531K-02911K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.22022-04-15
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22025-01-30
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12022-04-15
K-0293Have properly located and lighted "Exit" signs.12022-04-15
K-0511Have properly installed electrical wiring and gas equipment.12022-04-15
K-0353Inspect, test, and maintain automatic sprinkler systems.12022-04-15
K-0291Install emergency lighting that can last at least 1 1/2 hours.12025-01-30
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-01-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Egress Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Services Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Egress Deficiencies3
Miscellaneous Deficiencies2
Services Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2

Every citation on file

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

January 30, 2025 — 3 citations

Citations issued on January 30, 2025
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (April 14, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has no plan of correction (March 17, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 14, 2025)

April 15, 2022 — 7 citations

Citations issued on April 15, 2022
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (October 31, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 24, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (October 31, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 24, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 24, 2022)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Waiver has been granted (October 31, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Waiver has been granted (December 30, 2022)

February 7, 2019 — 3 citations

Citations issued on February 7, 2019
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 16, 2019)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 16, 2019)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (April 16, 2019)

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