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

SALEM HEALTH & REHABILITATION

SALEM, VA · 240 certified beds · Last Life Safety survey June 4, 2024

CMS Certification Number 495087 · first certified November 1971

Ownership

Operated by LIFEWORKS REHAB · For profit - Corporation

  • Ownership changed May 28, 2021 (change of ownership)to SALEM HEALTH & REHABILITATION CENTER from MEDICAL FACILITIES OF AMERICA I & II
25
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
13
Inspection & testing records
Of the citations on file

Position within VA

25 citations — more than 91% 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 11.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 3 months from now. This facility’s last Life Safety survey was June 2024. 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

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)

5 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 25 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0924 Put firmly secured handrails on each side of hallways.

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 facility25VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility25
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
112019-12122022-1122024-06
Citations at each Life Safety survey
Survey dateCitations
December 12, 201911
November 2, 202212
June 4, 20242

Most-cited tags

Most-cited tags at this facility
K-03533K-03452K-03252K-05211K-07611K-05111K-09181K-03001
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32024-06-04
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22022-11-02
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.22022-11-02
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12022-11-02
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12022-11-02
K-0511Have properly installed electrical wiring and gas equipment.12022-11-02
K-0918Have generator or other power source capable of supplying service within 10 seconds.12019-12-12
K-0300Meet other general requirements that are deficient.12019-12-12

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Egress Deficiencies 4
  • Services Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies5
Egress Deficiencies4
Services Deficiencies3
Miscellaneous Deficiencies3

Every citation on file

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

June 4, 2024 — 2 citations

Citations issued on June 4, 2024
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (October 20, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (October 20, 2024)

November 2, 2022 — 12 citations

Citations issued on November 2, 2022
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 (January 13, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (January 13, 2023)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (January 13, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 13, 2023)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Waiver has been granted (April 14, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (April 14, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 13, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (January 13, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (January 13, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (January 13, 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 (January 13, 2023)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (January 13, 2023)

December 12, 2019 — 11 citations

Citations issued on December 12, 2019
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (February 5, 2020)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (February 5, 2020)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (February 5, 2020)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 5, 2020)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 5, 2020)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (February 5, 2020)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (February 5, 2020)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (February 5, 2020)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 5, 2020)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 5, 2020)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 5, 2020)

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