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

HOLLY MANOR REHAB AND NURSING

FARMVILLE, VA · 120 certified beds · Last Life Safety survey August 30, 2024

CMS Certification Number 495339 · first certified June 1999

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Holly Manor AL IL Operations LLC (2005 Cobb Street). Matched by the telephone number the two records share. The records are separate and are never added together.

Ownership

Operated by HILL VALLEY HEALTHCARE · For profit - Limited Liability company

  • Ownership changed May 1, 2022 (change of ownership)from THE WOODLAND INC
7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within VA

7 citations — more than 33% 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 0 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 6 months from now. This facility’s last Life Safety survey was August 2024. 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

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.

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 7 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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 facility7VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
62021-0612022-1102024-08
Citations at each Life Safety survey
Survey dateCitations
June 30, 20216
November 17, 20221
August 30, 20240

Most-cited tags

Most-cited tags at this facility
K-03532K-01611K-09141K-02711K-05111K-07611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22022-11-17
K-0161Use approved construction type or materials.12021-06-30
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12021-06-30
K-0271Have exits that are accessible at all times.12021-06-30
K-0511Have properly installed electrical wiring and gas equipment.12021-06-30
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12021-06-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 2
  • Construction Deficiencies 1
  • Miscellaneous Deficiencies 1
  • Services Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies2
Construction Deficiencies1
Miscellaneous Deficiencies1
Services Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1
Egress Deficiencies1

Every citation on file

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

November 17, 2022 — 1 citation

Citations issued on November 17, 2022
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 21, 2022)

June 30, 2021 — 6 citations

Citations issued on June 30, 2021
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (August 27, 2021)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (August 27, 2021)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 8, 2021)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 27, 2021)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (October 8, 2021)
K-0914Ensure 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 (August 27, 2021)

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