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

STAUNTON POST ACUTE & REHABILITATION

STAUNTON, VA · 170 certified beds · Last Life Safety survey June 14, 2023

CMS Certification Number 495243 · first certified June 1991

Ownership

Operated by HILL VALLEY HEALTHCARE · For profit - Corporation

  • Ownership changed December 1, 2022 (change of ownership)from ENVOY OF STAUNTON, LLC
5
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within VA

5 citations — more than 21% 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

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 1. 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

Emergency preparedness

1 of the 5 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

10 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 5 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-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.

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 facility5VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility5
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
12020-0212022-0632023-06
Citations at each Life Safety survey
Survey dateCitations
February 11, 20201
June 9, 20221
June 14, 20233

Most-cited tags

Most-cited tags at this facility
K-05311E-00131K-09191K-02001K-03241
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0531Have elevators that firefighters can control in the event of a fire.12023-06-14
E-0013Develop Emergency Preparedness policies and procedures.12022-06-09
K-0919Meet requirements for the use of electrical equipment.12023-06-14
K-0200Meet other general requirements.12023-06-14
K-0324Provide properly protected cooking facilities.12020-02-11

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 1
  • Emergency Preparedness Deficiencies 1
  • Egress Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies1
Emergency Preparedness Deficiencies1
Egress Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1
Services Deficiencies1

Every citation on file

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

June 14, 2023 — 3 citations

Citations issued on June 14, 2023
TagWhat the surveyor checksStatus
K-0200Meet other general requirements.Deficient, Provider has date of correction (August 16, 2023)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (August 16, 2023)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (August 16, 2023)

June 9, 2022 — 1 citation

Citations issued on June 9, 2022
TagWhat the surveyor checksStatus
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (July 19, 2022)

February 11, 2020 — 1 citation

Citations issued on February 11, 2020
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 10, 2020)

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