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

CHELSEA REHABILITATION AND HEALTHCARE CENTER

GOOCHLAND, VA · 84 certified beds · Last Life Safety survey September 12, 2024

CMS Certification Number 495236 · first certified April 1991

Ownership

Operated by MARQUIS HEALTH SERVICES · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

11
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

11 citations — more than 51% 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 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 7 months from now. This facility’s last Life Safety survey was September 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

Physical environment (health survey)

3 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 11 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-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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 facility11VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
22021-0882022-1212024-09
Citations at each Life Safety survey
Survey dateCitations
August 17, 20212
December 13, 20228
September 12, 20241

Most-cited tags

Most-cited tags at this facility
K-03711K-03631K-03531K-07111K-05111K-02931K-09151K-07611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0371Have properly sized and located compartments to protect residents from smoke.12021-08-17
K-0363Install corridor and hallway doors that block smoke.12022-12-13
K-0353Inspect, test, and maintain automatic sprinkler systems.12022-12-13
K-0711Provide a written emergency evacuation plan.12022-12-13
K-0511Have properly installed electrical wiring and gas equipment.12022-12-13
K-0293Have properly located and lighted "Exit" signs.12022-12-13
K-0915Have proper power supply for life support equipment.12021-08-17
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12022-12-13

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Egress Deficiencies 2
  • Miscellaneous Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Egress Deficiencies2
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1
Services Deficiencies1

Every citation on file

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

September 12, 2024 — 1 citation

Citations issued on September 12, 2024
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (October 21, 2024)

December 13, 2022 — 8 citations

Citations issued on December 13, 2022
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (February 13, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Waiver has been granted (May 15, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (May 15, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Waiver has been granted (May 15, 2023)
K-0363Install corridor and hallway doors that block smoke.Waiver has been granted (May 15, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Waiver has been granted (May 15, 2023)
K-0711Provide a written emergency evacuation plan.Waiver has been granted (May 15, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Waiver has been granted (May 15, 2023)

August 17, 2021 — 2 citations

Citations issued on August 17, 2021
TagWhat the surveyor checksStatus
K-0371Have properly sized and located compartments to protect residents from smoke.Deficient, Provider has date of correction (September 20, 2021)
K-0915Have proper power supply for life support equipment.Deficient, Provider has date of correction (September 20, 2021)

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