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

PULASKI HLTH & REHAB CNTR

PULASKI, VA · 90 certified beds · Last Life Safety survey June 23, 2023

CMS Certification Number 495294 · first certified January 1995

Ownership

Operated by LIFEWORKS REHAB · For profit - Limited Liability company

  • Ownership changed May 28, 2021 (change of ownership)to PULASKI HEALTH & REHABILITION CENTER from MEDICAL FACILITIES OF AMERICA XIX
18
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within VA

18 citations — more than 78% 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. 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: January 2026 to January 2027. This facility’s last Life Safety survey was June 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)

3 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 18 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 facility18VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility18
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
12019-01112021-1162023-06
Citations at each Life Safety survey
Survey dateCitations
January 3, 20191
November 19, 202111
June 23, 20236

Most-cited tags

Most-cited tags at this facility
K-05112K-03532K-03452K-07612K-03631K-02931K-01001K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0511Have properly installed electrical wiring and gas equipment.22023-06-23
K-0353Inspect, test, and maintain automatic sprinkler systems.22023-06-23
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22023-06-23
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22023-06-23
K-0363Install corridor and hallway doors that block smoke.12021-11-19
K-0293Have properly located and lighted "Exit" signs.12021-11-19
K-0100Meet other general requirements.12019-01-03
K-0918Have generator or other power source capable of supplying service within 10 seconds.12021-11-19

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Egress Deficiencies 3
  • Services Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Egress Deficiencies3
Services Deficiencies3
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Construction Deficiencies1

Every citation on file

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

June 23, 2023 — 6 citations

Citations issued on June 23, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 21, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 21, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Waiver has been granted (April 4, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (April 4, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 21, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Waiver has been granted (April 4, 2024)

November 19, 2021 — 11 citations

Citations issued on November 19, 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 (June 10, 2022)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 10, 2022)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (February 25, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 25, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 10, 2022)
K-0363Install corridor and hallway doors that block smoke.Waiver has been granted (August 16, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 10, 2022)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (February 25, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Waiver has been granted (January 17, 2023)
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 (February 25, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 25, 2022)

January 3, 2019 — 1 citation

Citations issued on January 3, 2019
TagWhat the surveyor checksStatus
K-0100Meet other general requirements.Deficient, Provider has date of correction (February 21, 2019)

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