Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
TATE SPRINGS HEALTH & REHAB
LYNCHBURG, VA · 118 certified beds · Last Life Safety survey April 19, 2023
CMS Certification Number 495077 · first certified May 1970
Ownership
Operated by HILL VALLEY HEALTHCARE · For profit - Individual
- Ownership changed February 1, 2023 (change of ownership)from MEDICAL CARE CENTER-LYNCHBURG VA LLC
Position within VA
13 citations — more than 59% 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
The latest survey found 10 citations; the earlier surveys in the window averaged 1.5. 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: November 2025 to November 2026. This facility’s last Life Safety survey was April 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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1 inspection-and-testing tag has 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 ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
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 13 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.
How that compares
Compared with the median facility in VA, and nationally. Surveyors differ markedly between states, so the VA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 13 |
| Median facility in VA | 10 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| February 21, 2019 | 1 |
| November 18, 2021 | 2 |
| April 19, 2023 | 10 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 2 | 2023-04-19 |
| K-0915 | Have proper power supply for life support equipment. | 1 | 2021-11-18 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2023-04-19 |
| K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. | 1 | 2019-02-21 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2023-04-19 |
| K-0161 | Use approved construction type or materials. | 1 | 2023-04-19 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2023-04-19 |
| K-0271 | Have exits that are accessible at all times. | 1 | 2023-04-19 |
What the citations cover
- Smoke Deficiencies 6
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Egress Deficiencies 2
- Construction Deficiencies 1
- Other 2
| Category | Citations |
|---|---|
| Smoke Deficiencies | 6 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Egress Deficiencies | 2 |
| Construction Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 19, 2023 — 10 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (August 22, 2023) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Waiver has been granted (November 21, 2023) |
| K-0271 | Have exits that are accessible at all times. | Waiver has been granted (November 21, 2023) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (August 22, 2023) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Waiver has been granted (November 21, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Waiver has been granted (November 21, 2023) |
| K-0363 | Install corridor and hallway doors that block smoke. | Waiver has been granted (November 21, 2023) |
| K-0531 | Have elevators that firefighters can control in the event of a fire. | Deficient, Provider has date of correction (August 22, 2023) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Waiver has been granted (November 21, 2023) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (August 22, 2023) |
November 18, 2021 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (December 10, 2021) |
| K-0915 | Have proper power supply for life support equipment. | Deficient, Provider has date of correction (December 10, 2021) |
February 21, 2019 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. | Deficient, Provider has date of correction (May 2, 2019) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.