Life Safety Index

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

GALAX HEALTH AND REHAB

GALAX, VA · 120 certified beds · Last Life Safety survey November 16, 2023

CMS Certification Number 495250 · first certified August 1991

Ownership

Operated by TRIO HEALTHCARE · For profit - Corporation

  • Ownership changed December 16, 2016 (change of ownership)from GGNSC GALAX LLC
18
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within VA

18 citations — more than 78% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 9 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: June 2026 to June 2027. This facility’s last Life Safety survey was November 2023. 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

Emergency preparedness

9 of the 18 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)

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 18 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.

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 facility18VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility18
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
02018-0992021-1292023-11
Citations at each Life Safety survey
Survey dateCitations
September 13, 20180
December 16, 20219
November 16, 20239

Most-cited tags

Most-cited tags at this facility
K-03631K-02911E-00041E-00361K-03531E-00061E-00131K-05111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.12021-12-16
K-0291Install emergency lighting that can last at least 1 1/2 hours.12021-12-16
E-0004Develop and maintain an Emergency Preparedness Program (EP).12023-11-16
E-0036Establish emergency prep training and testing.12023-11-16
K-0353Inspect, test, and maintain automatic sprinkler systems.12021-12-16
E-0006Conduct risk assessment and an All-Hazards approach.12023-11-16
E-0013Develop Emergency Preparedness policies and procedures.12023-11-16
K-0511Have properly installed electrical wiring and gas equipment.12021-12-16

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 9
  • Smoke Deficiencies 3
  • Services Deficiencies 2
  • Egress Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies9
Smoke Deficiencies3
Services Deficiencies2
Egress Deficiencies2
Construction Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

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

November 16, 2023 — 9 citations

Citations issued on November 16, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (December 27, 2023)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (December 27, 2023)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (December 27, 2023)
E-0029Develop a communication plan.Deficient, Provider has date of correction (December 27, 2023)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (December 27, 2023)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (December 27, 2023)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (December 27, 2023)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (December 27, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (December 27, 2023)

December 16, 2021 — 9 citations

Citations issued on December 16, 2021
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (February 8, 2022)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (February 8, 2022)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 8, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 8, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 8, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 12, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 8, 2022)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (May 12, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (May 12, 2022)

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