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

ARLEIGH BURKE PAVILION

MC LEAN, VA · 49 certified beds · Last Life Safety survey January 15, 2025

CMS Certification Number 495410 · first certified December 2012

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Arleigh Burke Pavilion (Fairfax Co) (1739 Kirby Road). Matched by the telephone number the two records share. The records are separate and are never added together.

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within VA

7 citations — more than 33% 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 the window.

The latest survey found 0 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens August 2027 — about 11 months from now. This facility’s last Life Safety survey was January 2025. 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)

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 7 Life Safety citations above. The Physical Environment Index

  • 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 facility7VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
42021-0732022-0802025-01
Citations at each Life Safety survey
Survey dateCitations
July 8, 20214
August 11, 20223
January 15, 20250

Most-cited tags

Most-cited tags at this facility
K-02222K-03631K-07611K-02231K-03721K-09191
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
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.22022-08-11
K-0363Install corridor and hallway doors that block smoke.12022-08-11
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12021-07-08
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12021-07-08
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12022-08-11
K-0919Meet requirements for the use of electrical equipment.12021-07-08

What the citations cover

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

Every citation on file

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

August 11, 2022 — 3 citations

Citations issued on August 11, 2022
TagWhat the surveyor checksStatus
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 (October 11, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (October 11, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (October 11, 2022)

July 8, 2021 — 4 citations

Citations issued on July 8, 2021
TagWhat the surveyor checksStatus
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 (September 9, 2021)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (September 9, 2021)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (September 9, 2021)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (September 9, 2021)

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