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

BLUE RIDGE REHABILITATION AND NURSING

HARRISONBURG, VA · 117 certified beds · Last Life Safety survey August 28, 2024

CMS Certification Number 495146 · first certified November 1984

Ownership

Operated by EASTERN HEALTHCARE GROUP · For profit - Corporation

  • Ownership changed February 1, 2024 (change of ownership)from 94 SOUTH OPCO LLC
9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within VA

9 citations — more than 41% 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 3 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 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

Physical environment (health survey)

4 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 9 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-0908 Keep all essential equipment working safely.

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 facility9VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
52019-0312021-1232024-08
Citations at each Life Safety survey
Survey dateCitations
March 7, 20195
December 9, 20211
August 28, 20243

Most-cited tags

Most-cited tags at this facility
K-07411K-09111K-09231K-03631K-03251K-03211K-03531K-07611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12019-03-07
K-0911Meet requirements for the installation and maintenance of electrical systems.12024-08-28
K-0923Have proper medical gas storage and administration areas.12019-03-07
K-0363Install corridor and hallway doors that block smoke.12019-03-07
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.12019-03-07
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12021-12-09
K-0353Inspect, test, and maintain automatic sprinkler systems.12019-03-07
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12024-08-28

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Miscellaneous Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1

Every citation on file

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

August 28, 2024 — 3 citations

Citations issued on August 28, 2024
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (October 29, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (October 29, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (October 29, 2024)

December 9, 2021 — 1 citation

Citations issued on December 9, 2021
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (December 21, 2021)

March 7, 2019 — 5 citations

Citations issued on March 7, 2019
TagWhat the surveyor checksStatus
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (April 17, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 17, 2019)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 17, 2019)
K-0741Have 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 17, 2019)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 17, 2019)

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