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

LAWRENCEVILLE HEALTH & REHABILITATION

LAWRENCEVILLE, VA · 77 certified beds · Last Life Safety survey March 19, 2025

CMS Certification Number 495192 · first certified June 1989

Ownership

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

  • Ownership changed December 1, 2022 (change of ownership)from ENVOY OF LAWRENCEVILLE, LLC
30
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
7
Tags cited more than once
Across separate surveys
18
Inspection & testing records
Of the citations on file

Position within VA

30 citations — more than 97% 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 CMS's current file.

The latest survey found 2 citations; the earlier surveys on file averaged 14. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2027 — about 12 months from now. This facility’s last Life Safety survey was March 2025. Facilities in VA are typically surveyed 32–45 months after the last one (median 38), measured over 123 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 about three years in Virginia. How the window is measured

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Which alerts

7 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 cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 30 citations on file is 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)

1 physical-environment citation 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 30 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.

How that compares

Citations in CMS's current file

Compared with the median facility in VA, and nationally. Surveyors differ markedly between states, so the VA figure is the meaningful one.

This facility30VA median10National median11
Citations in CMS's current file, compared
MeasureCitations
This facility30
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
162019-11122022-0322025-03
Citations at each Life Safety survey
Survey dateCitations
November 21, 201916
March 17, 202212
March 19, 20252

Most-cited tags

Most-cited tags at this facility
K-07613K-03532K-05112K-05212K-03632K-03452K-09182K-01611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.32025-03-19
K-0353Inspect, test, and maintain automatic sprinkler systems.22022-03-17
K-0511Have properly installed electrical wiring and gas equipment.22022-03-17
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22022-03-17
K-0363Install corridor and hallway doors that block smoke.22022-03-17
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22022-03-17
K-0918Have generator or other power source capable of supplying service within 10 seconds.22022-03-17
K-0161Use approved construction type or materials.12019-11-21

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 12
  • Miscellaneous Deficiencies 4
  • Services Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Other 6
Citations by CMS category
CategoryCitations
Smoke Deficiencies12
Miscellaneous Deficiencies4
Services Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies4
Egress Deficiencies4
Construction Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

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

March 19, 2025 — 2 citations

Citations issued on March 19, 2025
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (April 18, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (October 16, 2025)

March 17, 2022 — 12 citations

Citations issued on March 17, 2022
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (May 23, 2022)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (May 23, 2022)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 23, 2022)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (May 23, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 4, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (August 4, 2022)
K-0363Install corridor and hallway doors that block smoke.Waiver has been granted (August 4, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 23, 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 23, 2022)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (May 23, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Waiver has been granted (August 4, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 23, 2022)

November 21, 2019 — 16 citations

Citations issued on November 21, 2019
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (August 5, 2020)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (February 19, 2020)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (February 19, 2020)
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 (August 5, 2020)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (February 19, 2020)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 19, 2020)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 5, 2020)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 19, 2020)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 5, 2020)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 5, 2020)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 5, 2020)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (August 5, 2020)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 19, 2020)
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 (February 19, 2020)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 19, 2020)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (August 5, 2020)

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