Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
LAKEWOOD MANOR
RICHMOND, VA · 96 certified beds · Last Life Safety survey June 23, 2023
CMS Certification Number 495403 · first certified April 2010
Also on this campus
The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Lakewood Manor Baptist Retirement Community (1900 Lauderdale Drive). 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.
Position within VA
10 citations — more than 47% 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 0 citations; the earlier surveys in the window averaged 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: 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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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 10 Life Safety citations above. The Physical Environment Index
- 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 | 10 |
| Median facility in VA | 10 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| August 16, 2018 | 9 |
| April 1, 2021 | 1 |
| June 23, 2023 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | 2 | 2021-04-01 |
| K-0923 | Have proper medical gas storage and administration areas. | 1 | 2018-08-16 |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 1 | 2018-08-16 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2018-08-16 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2018-08-16 |
| K-0161 | Use approved construction type or materials. | 1 | 2018-08-16 |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | 1 | 2018-08-16 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2018-08-16 |
What the citations cover
- Smoke Deficiencies 4
- Egress Deficiencies 2
- Construction Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 2
| Category | Citations |
|---|---|
| Smoke Deficiencies | 4 |
| Egress Deficiencies | 2 |
| Construction Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 1, 2021 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (May 7, 2021) |
August 16, 2018 — 9 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0100 | Meet other general requirements. | Deficient, Provider has date of correction (November 9, 2018) |
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (November 9, 2018) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (November 9, 2018) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (November 9, 2018) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (November 9, 2018) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (November 9, 2018) |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | Deficient, Provider has date of correction (November 9, 2018) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (November 9, 2018) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (November 9, 2018) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.