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

Potomac Falls Health & Rehab Center

STERLING, VA · 150 certified beds · Last Life Safety survey December 2, 2021

CMS Certification Number 495179 · first certified March 1988

Ownership

Operated by COMMONWEALTH CARE OF ROANOKE · For profit - Corporation

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

10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

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

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 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (July 2024 to July 2025), and past the point by which nine in ten VA facilities have been surveyed. This facility’s last Life Safety survey was December 2021. 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

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-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • 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 facility10VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
42017-0342018-1022021-12
Citations at each Life Safety survey
Survey dateCitations
March 23, 20174
October 11, 20184
December 2, 20212

Most-cited tags

Most-cited tags at this facility
K-05211K-09161K-03531K-09201K-03211K-03631K-03001K-03111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12018-10-11
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.12021-12-02
K-0353Inspect, test, and maintain automatic sprinkler systems.12017-03-23
K-0920Ensure proper usage of power strips and extension cords.12018-10-11
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12017-03-23
K-0363Install corridor and hallway doors that block smoke.12017-03-23
K-0300Meet other general requirements that are deficient.12018-10-11
K-0311Have an enclosure around a vertical opening shaft.12021-12-02

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Services Deficiencies 1
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies2
Services Deficiencies1
Egress Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

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

December 2, 2021 — 2 citations

Citations issued on December 2, 2021
TagWhat the surveyor checksStatus
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (January 28, 2022)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (January 28, 2022)

October 11, 2018 — 4 citations

Citations issued on October 11, 2018
TagWhat the surveyor checksStatus
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (January 31, 2019)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (January 31, 2019)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (January 31, 2019)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 31, 2019)

March 23, 2017 — 4 citations

Citations issued on March 23, 2017
TagWhat the surveyor checksStatus
K-0321Ensure 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 (May 10, 2017)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 10, 2017)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 10, 2017)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (May 10, 2017)

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