Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
NORTHERN CARDINAL REHABILITATION AND NURSING
SUFFOLK, VA · 120 certified beds · Last Life Safety survey April 14, 2023
CMS Certification Number 495206 · first certified December 1989
Ownership
Operated by EASTERN HEALTHCARE GROUP · For profit - Corporation
- Ownership changed May 1, 2024 (change of ownership)from SUFFOLK VA OPCO LLC
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
The latest survey found 7 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: November 2025 to November 2026. This facility’s last Life Safety survey was April 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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Emergency preparedness
6 of the 25 citations on file are 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)
4 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
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 | 25 |
| Median facility in VA | 10 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| March 19, 2018 | 13 |
| October 3, 2019 | 5 |
| April 14, 2023 | 7 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. | 2 | 2023-04-14 |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | 1 | 2023-04-14 |
| K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | 1 | 2019-10-03 |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 1 | 2023-04-14 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 1 | 2018-03-19 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2019-10-03 |
| K-0200 | Meet other general requirements. | 1 | 2023-04-14 |
| E-0024 | Establish policies and procedures for volunteers. | 1 | 2018-03-19 |
What the citations cover
- Smoke Deficiencies 6
- Emergency Preparedness Deficiencies 6
- Gas, Vacuum, and Electrical Systems Deficiencies 6
- Egress Deficiencies 4
- Other 3
| Category | Citations |
|---|---|
| Smoke Deficiencies | 6 |
| Emergency Preparedness Deficiencies | 6 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 6 |
| Egress Deficiencies | 4 |
| Miscellaneous Deficiencies | 2 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 14, 2023 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0200 | Meet other general requirements. | Deficient, Provider has date of correction (June 1, 2023) |
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Deficient, Provider has date of correction (June 1, 2023) |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | Deficient, Provider has date of correction (June 1, 2023) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (June 1, 2023) |
| K-0700 | Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Deficient, Provider has date of correction (June 1, 2023) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (June 1, 2023) |
| K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. | Waiver has been granted (November 1, 2023) |
October 3, 2019 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (December 4, 2019) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (December 4, 2019) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (December 4, 2019) |
| K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Deficient, Provider has date of correction (December 4, 2019) |
| K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. | Deficient, Provider has date of correction (December 4, 2019) |
March 19, 2018 — 13 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (May 17, 2018) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (May 17, 2018) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (May 17, 2018) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (May 17, 2018) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (May 17, 2018) |
| E-0042 | Meet the requirements of an integrated health system. | Deficient, Provider has date of correction (May 17, 2018) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (May 2, 2018) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (May 2, 2018) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (May 2, 2018) |
| K-0912 | Have power receptacles that are properly grounded. | Deficient, Provider has date of correction (May 2, 2018) |
| K-0919 | Meet requirements for the use of electrical equipment. | Deficient, Provider has date of correction (May 2, 2018) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (May 2, 2018) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (May 2, 2018) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.