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.
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 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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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
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 |
|---|---|
| March 23, 2017 | 4 |
| October 11, 2018 | 4 |
| December 2, 2021 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 1 | 2018-10-11 |
| K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. | 1 | 2021-12-02 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2017-03-23 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2018-10-11 |
| 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 | 2017-03-23 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2017-03-23 |
| K-0300 | Meet other general requirements that are deficient. | 1 | 2018-10-11 |
| K-0311 | Have an enclosure around a vertical opening shaft. | 1 | 2021-12-02 |
What the citations cover
- Smoke Deficiencies 5
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Services Deficiencies 1
- Egress Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 5 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Services Deficiencies | 1 |
| Egress Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
December 2, 2021 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0311 | Have an enclosure around a vertical opening shaft. | Deficient, Provider has date of correction (January 28, 2022) |
| K-0916 | Have 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
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0300 | Meet other general requirements that are deficient. | Deficient, Provider has date of correction (January 31, 2019) |
| K-0521 | Ensure 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-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has date of correction (January 31, 2019) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (January 31, 2019) |
March 23, 2017 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| 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 (May 10, 2017) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (May 10, 2017) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (May 10, 2017) |
| K-0374 | Install 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.