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

Our Lady Of Hope Health Center

RICHMOND, VA · 75 certified beds · Last Life Safety survey May 3, 2023

CMS Certification Number 495311 · first certified August 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: Our Lady of Hope (13700 N. Gayton Road). 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 - Church related

No change of ownership on CMS record since January 1, 2016, when the records begin.

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

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 0 citations; the earlier surveys in the window averaged 9. 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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2 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 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-0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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	18
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
February 27, 2020	9
December 9, 2021	9
May 3, 2023	0

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-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2021-12-09
K-0923	Have proper medical gas storage and administration areas.	2	2021-12-09
K-0711	Provide a written emergency evacuation plan.	1	2021-12-09
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	2020-02-27
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	1	2021-12-09
K-0324	Provide properly protected cooking facilities.	1	2020-02-27
K-0920	Ensure proper usage of power strips and extension cords.	1	2020-02-27
K-0363	Install corridor and hallway doors that block smoke.	1	2020-02-27

What the citations cover

Citations by CMS category

Smoke Deficiencies 8
Gas, Vacuum, and Electrical Systems Deficiencies 4
Miscellaneous Deficiencies 3
Services Deficiencies 2
Other 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	8
Gas, Vacuum, and Electrical Systems Deficiencies	4
Miscellaneous Deficiencies	3
Services Deficiencies	2
Egress Deficiencies	1

Every citation on file

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

December 9, 2021 — 9 citations

Citations issued on December 9, 2021
Tag	What the surveyor checks	Status
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Waiver has been granted (May 27, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 18, 2022)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (February 18, 2022)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (February 18, 2022)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (February 18, 2022)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (February 18, 2022)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (February 18, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (February 18, 2022)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (February 18, 2022)

February 27, 2020 — 9 citations

Citations issued on February 27, 2020
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 (January 20, 2021)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Waiver has been granted (January 20, 2021)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (January 20, 2021)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Waiver has been granted (January 20, 2021)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (January 20, 2021)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Waiver has been granted (January 20, 2021)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (January 20, 2021)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (January 20, 2021)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (January 20, 2021)

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