Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
FRANCIS MARION MANOR HEALTH & REHABILITATION
MARION, VA · 109 certified beds · Last Life Safety survey August 14, 2024
CMS Certification Number 495384 · first certified June 2005
Ownership
Operated by AHAVA HEALTHCARE · Non profit - Corporation
- New ownershipOwnership changed May 1, 2025 (change of ownership)from SMYTH COUNTY COMMUNITY HOSPITAL
Position within VA
9 citations — more than 40% 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
When is the next survey likely?
The window opens April 2027 — about 5 months from now. This facility’s last Life Safety survey was August 2024. 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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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 9 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
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 | 9 |
| Median facility in VA | 10 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| February 21, 2020 | 0 |
| November 4, 2021 | 9 |
| August 14, 2024 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2021-11-04 |
| K-0293 | Have properly located and lighted "Exit" signs. | 1 | 2021-11-04 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2021-11-04 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 1 | 2021-11-04 |
| K-0531 | Have elevators that firefighters can control in the event of a fire. | 1 | 2021-11-04 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2021-11-04 |
| K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. | 1 | 2021-11-04 |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2021-11-04 |
What the citations cover
- Smoke Deficiencies 5
- Services Deficiencies 2
- Egress Deficiencies 1
- Miscellaneous Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 5 |
| Services Deficiencies | 2 |
| Egress Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
November 4, 2021 — 9 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (January 7, 2022) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (January 7, 2022) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (January 7, 2022) |
| K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. | Deficient, Provider has date of correction (January 7, 2022) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (January 7, 2022) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (January 7, 2022) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (January 7, 2022) |
| K-0531 | Have elevators that firefighters can control in the event of a fire. | Deficient, Provider has date of correction (January 7, 2022) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (January 7, 2022) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.