Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
NORVIEW HEIGHTS REHABILITATION AND NURSING
NORFOLK, VA · 60 certified beds · Last Life Safety survey October 28, 2021
CMS Certification Number 495309 · first certified May 1996
Ownership
Operated by EASTERN HEALTHCARE GROUP · For profit - Corporation
- Ownership changed March 1, 2022 (change of ownership)from PELICAN HEALTH NORFOLK LLC
Position within VA
29 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
The latest survey found 9 citations; the earlier surveys in the window averaged 10. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (May 2024 to May 2025), and past the point by which nine in ten VA facilities have been surveyed. This facility’s last Life Safety survey was October 2021. 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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Emergency preparedness
12 of the 29 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)
7 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 29 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-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 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.
- 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 | 29 |
| Median facility in VA | 10 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| May 17, 2018 | 15 |
| August 22, 2019 | 5 |
| October 28, 2021 | 9 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0920 | Ensure proper usage of power strips and extension cords. | 2 | 2019-08-22 |
| E-0037 | Establish staff and initial training requirements. | 2 | 2021-10-28 |
| E-0036 | Establish emergency prep training and testing. | 2 | 2021-10-28 |
| K-0919 | Meet requirements for the use of electrical equipment. | 2 | 2019-08-22 |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 1 | 2018-05-17 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2021-10-28 |
| K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | 1 | 2021-10-28 |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2021-10-28 |
What the citations cover
- Emergency Preparedness Deficiencies 12
- Gas, Vacuum, and Electrical Systems Deficiencies 9
- Miscellaneous Deficiencies 3
- Smoke Deficiencies 3
- Other 2
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 12 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 9 |
| Miscellaneous Deficiencies | 3 |
| Smoke Deficiencies | 3 |
| Egress Deficiencies | 1 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
October 28, 2021 — 9 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (December 6, 2021) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (December 6, 2021) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (December 8, 2021) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (December 8, 2021) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (December 8, 2021) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (December 8, 2021) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (December 8, 2021) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (December 8, 2021) |
| K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Deficient, Provider has date of correction (December 8, 2021) |
August 22, 2019 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0222 | Add 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 22, 2019) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (October 22, 2019) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (October 22, 2019) |
| K-0919 | Meet requirements for the use of electrical equipment. | Deficient, Provider has date of correction (October 22, 2019) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (October 22, 2019) |
May 17, 2018 — 15 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (June 25, 2018) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (June 25, 2018) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (June 25, 2018) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (June 25, 2018) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (June 25, 2018) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (June 25, 2018) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (June 25, 2018) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (June 25, 2018) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (June 25, 2018) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (June 25, 2018) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (June 27, 2018) |
| K-0914 | Ensure 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 (June 27, 2018) |
| K-0919 | Meet requirements for the use of electrical equipment. | Deficient, Provider has date of correction (June 27, 2018) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (June 27, 2018) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (June 27, 2018) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.