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

JOHNSON CNTR/FALCONS LANDING

POTOMAC FALLS, VA · 60 certified beds · Last Life Safety survey May 4, 2023

CMS Certification Number 495312 · first certified December 1996

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: The Johnson Center at Falcons Landing (20535 Earhart Place). 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.

19
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
13
Inspection & testing records
Of the citations on file

Position within VA

19 citations — more than 81% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 6.5. 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: December 2025 to December 2026. This facility’s last Life Safety survey was May 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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Which alerts

4 inspection-and-testing tags have 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)

2 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 19 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-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 facility19VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility19
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
112018-0722021-0362023-05
Citations at each Life Safety survey
Survey dateCitations
July 12, 201811
March 19, 20212
May 4, 20236

Most-cited tags

Most-cited tags at this facility
K-02912K-03532K-03632K-03722K-02932K-09141K-09181K-07611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0291Install emergency lighting that can last at least 1 1/2 hours.22023-05-04
K-0353Inspect, test, and maintain automatic sprinkler systems.22023-05-04
K-0363Install corridor and hallway doors that block smoke.22023-05-04
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22021-03-19
K-0293Have properly located and lighted "Exit" signs.22023-05-04
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12018-07-12
K-0918Have generator or other power source capable of supplying service within 10 seconds.12021-03-19
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-05-04

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Egress Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Miscellaneous Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Egress Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies1
Services Deficiencies1

Every citation on file

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

May 4, 2023 — 6 citations

Citations issued on May 4, 2023
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (June 28, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 28, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 28, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 28, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 28, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 28, 2023)

March 19, 2021 — 2 citations

Citations issued on March 19, 2021
TagWhat the surveyor checksStatus
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (June 2, 2021)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 2, 2021)

July 12, 2018 — 11 citations

Citations issued on July 12, 2018
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (October 4, 2018)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (October 4, 2018)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (October 4, 2018)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (October 4, 2018)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 4, 2018)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (October 4, 2018)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (October 4, 2018)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (October 4, 2018)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (October 4, 2018)
K-0914Ensure 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 4, 2018)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 4, 2018)

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