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

PORTSMOUTH HEALTH AND REHAB

PORTSMOUTH, VA · 120 certified beds · Last Life Safety survey May 28, 2021

CMS Certification Number 495149 · first certified October 1984

Ownership

Operated by TRIO HEALTHCARE · For profit - Corporation

Ownership changed December 16, 2016 (change of ownership)from GGNSC PORTSMOUTH LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within VA

26 citations — more than 93% 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 2 citations; the earlier surveys in the window averaged 12. 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 (December 2023 to December 2024), and past the point by which nine in ten VA facilities have been surveyed. This facility’s last Life Safety survey was May 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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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.

Emergency preparedness

1 of the 26 citations on file is 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

E-0039

Physical environment (health survey)

9 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 26 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-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
F-0880 Provide and implement an infection prevention and control program.
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.

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.

Citations on file over three years, compared
Measure	Citations
This facility	26
Median facility in VA	10
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
July 13, 2017	18
February 7, 2019	6
May 28, 2021	2

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0920	Ensure proper usage of power strips and extension cords.	2	2019-02-07
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	2	2019-02-07
K-0363	Install corridor and hallway doors that block smoke.	2	2019-02-07
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.	2	2019-02-07
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	1	2017-07-13
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	1	2017-07-13
K-0200	Meet other general requirements.	1	2017-07-13
E-0039	Conduct testing and exercise requirements.	1	2019-02-07

What the citations cover

Citations by CMS category

Smoke Deficiencies 9
Gas, Vacuum, and Electrical Systems Deficiencies 7
Egress Deficiencies 5
Miscellaneous Deficiencies 2
Other 3

Citations by CMS category
Category	Citations
Smoke Deficiencies	9
Gas, Vacuum, and Electrical Systems Deficiencies	7
Egress Deficiencies	5
Miscellaneous Deficiencies	2
Emergency Preparedness Deficiencies	1
Services Deficiencies	1
Construction Deficiencies	1

Every citation on file

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

May 28, 2021 — 2 citations

Citations issued on May 28, 2021
Tag	What the surveyor checks	Status
K-0915	Have proper power supply for life support equipment.	Deficient, Provider has date of correction (June 10, 2021)
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	Deficient, Provider has date of correction (June 10, 2021)

February 7, 2019 — 6 citations

Citations issued on February 7, 2019
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 9, 2019)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (April 2, 2019)
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 (April 2, 2019)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 2, 2019)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (April 2, 2019)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (April 2, 2019)

July 13, 2017 — 18 citations

Citations issued on July 13, 2017
Tag	What the surveyor checks	Status
K-0200	Meet other general requirements.	Deficient, Provider has date of correction (October 2, 2017)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (October 2, 2017)
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 2, 2017)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (October 2, 2017)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (October 2, 2017)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (October 2, 2017)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 2, 2017)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (October 2, 2017)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (October 2, 2017)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (October 2, 2017)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (October 2, 2017)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (October 2, 2017)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (October 2, 2017)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (October 2, 2017)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (October 2, 2017)
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 (October 2, 2017)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 2, 2017)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (October 2, 2017)

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