Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
EMPORIA REHABILITATION AND HEALTHCARE CENTER
EMPORIA, VA · 120 certified beds · Last Life Safety survey November 16, 2022
CMS Certification Number 495375 · first certified March 2004
Ownership
Operated by YAD HEALTHCARE · For profit - Limited Liability company
- Ownership changed March 1, 2022 (change of ownership)from EMPORIA VA OPCO LLC
Position within VA
46 citations — more than 100% 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 4 citations; the earlier surveys in the window averaged 21. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Past the typical window (June 2025 to June 2026). Most VA facilities have been surveyed by October 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
Get an email about EMPORIA REHABILITATION AND HEALTHCARE CENTER
One email when it happens. No account; stop it any time with one click.
4 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
25 of the 46 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)
8 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 46 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-0880 Provide and implement an infection prevention and control program.
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0908 Keep all essential equipment working safely.
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 | 46 |
| Median facility in VA | 10 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| January 29, 2018 | 12 |
| April 18, 2019 | 30 |
| November 16, 2022 | 4 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 2 | 2022-11-16 |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | 2 | 2022-11-16 |
| K-0363 | Install corridor and hallway doors that block smoke. | 2 | 2019-04-18 |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 2 | 2019-04-18 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 2 | 2019-04-18 |
| E-0023 | Establish policies and procedures for medical documentation. | 1 | 2019-04-18 |
| E-0034 | Provide a means of sharing information on occupancy/needs. | 1 | 2019-04-18 |
| E-0041 | Implement emergency and standby power systems. | 1 | 2019-04-18 |
What the citations cover
- Emergency Preparedness Deficiencies 25
- Smoke Deficiencies 10
- Miscellaneous Deficiencies 3
- Egress Deficiencies 3
- Other 5
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 25 |
| Smoke Deficiencies | 10 |
| Miscellaneous Deficiencies | 3 |
| Egress Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 3 |
| Services Deficiencies | 2 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
November 16, 2022 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (January 3, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (January 3, 2023) |
| K-0400 | Meet fire sprinkler requirement for tall buildings. | Deficient, Provider has date of correction (January 3, 2023) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (January 3, 2023) |
April 18, 2019 — 30 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0001 | Establish an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (May 29, 2019) |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (May 29, 2019) |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0023 | Establish policies and procedures for medical documentation. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (May 29, 2019) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (May 29, 2019) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (June 25, 2019) |
| K-0347 | Properly provide smoke detection systems in areas open to corridors. | Deficient, Provider has date of correction (June 25, 2019) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (June 25, 2019) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (June 25, 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 (June 25, 2019) |
January 29, 2018 — 12 citations
| 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 10, 2018) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Waiver has been granted (July 9, 2018) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (April 10, 2018) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (April 10, 2018) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (April 10, 2018) |
| K-0363 | Install corridor and hallway doors that block smoke. | Waiver has been granted (July 9, 2018) |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | Waiver has been granted (July 9, 2018) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Waiver has been granted (July 9, 2018) |
| K-0522 | Have an externally vented heating system. | Waiver has been granted (July 9, 2018) |
| 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 (April 10, 2018) |
| 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 (April 10, 2018) |
| K-0919 | Meet requirements for the use of electrical equipment. | Deficient, Provider has date of correction (April 10, 2018) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.