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

Louisa Health & Rehabilitation Center

LOUISA, VA · 90 certified beds · Last Life Safety survey January 26, 2023

CMS Certification Number 495282 · first certified October 1993

Ownership

Operated by LIFEWORKS REHAB · For profit - Limited Liability company

  • Ownership changed May 28, 2021 (change of ownership)to LOUISA HEALTH & REHABILITATION CENTER OF OTHER from MEDICAL FACILITIES OF AMERICA XXIV & XXXV
6
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within VA

6 citations — more than 26% 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

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (August 2025 to August 2026). Most VA facilities have been surveyed by January 2027. This facility’s last Life Safety survey was January 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

2 of the 6 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)

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 6 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 facility6VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
02018-1022021-0442023-01
Citations at each Life Safety survey
Survey dateCitations
October 4, 20180
April 22, 20212
January 26, 20234

Most-cited tags

Most-cited tags at this facility
E-00301K-09181E-00311K-09261K-09161K-02911
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0030List the names and contact information of those in the facility.12021-04-22
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-01-26
E-0031Provide emergency officials' contact information.12021-04-22
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.12023-01-26
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.12023-01-26
K-0291Install emergency lighting that can last at least 1 1/2 hours.12023-01-26

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Emergency Preparedness Deficiencies 2
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies2
Egress Deficiencies1

Every citation on file

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

January 26, 2023 — 4 citations

Citations issued on January 26, 2023
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (March 27, 2023)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (March 27, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 27, 2023)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (March 27, 2023)

April 22, 2021 — 2 citations

Citations issued on April 22, 2021
TagWhat the surveyor checksStatus
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (May 28, 2021)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (May 28, 2021)

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