Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
BIRCHWOOD PARK REHABILITATION
VIRGINIA BEACH, VA · 150 certified beds · Last Life Safety survey December 19, 2024
CMS Certification Number 495150 · first certified December 1984
Ownership
Operated by EASTERN HEALTHCARE GROUP · For profit - Limited Liability company
- Ownership changed March 1, 2022 (change of ownership)to BIRCHWOOD PARK REHABILITATION AND NURSING from THE CITADEL VIRGINIA BEACH LLC
Position within VA
23 citations — more than 88% 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 8. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens July 2027 — about 10 months from now. This facility’s last Life Safety survey was December 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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Emergency preparedness
15 of the 23 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)
11 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 23 Life Safety citations above. The Physical Environment Index
- 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-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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 | 23 |
| Median facility in VA | 10 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| March 5, 2020 | 14 |
| September 30, 2021 | 2 |
| December 19, 2024 | 7 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | 2 | 2021-09-30 |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | 1 | 2021-09-30 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2024-12-19 |
| E-0039 | Conduct testing and exercise requirements. | 1 | 2020-03-05 |
| K-0932 | Meet other general requirements. | 1 | 2024-12-19 |
| E-0026 | Establish roles under a Waiver declared by secretary. | 1 | 2020-03-05 |
| E-0033 | Establish methods for sharing information. | 1 | 2020-03-05 |
| E-0020 | Establish policies and procedures including evacuation. | 1 | 2020-03-05 |
What the citations cover
- Emergency Preparedness Deficiencies 15
- Miscellaneous Deficiencies 3
- Smoke Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Other 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 15 |
| Miscellaneous Deficiencies | 3 |
| Smoke Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
December 19, 2024 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (February 20, 2025) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (February 20, 2025) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (February 20, 2025) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (February 20, 2025) |
| K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. | Deficient, Provider has date of correction (February 20, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (February 20, 2025) |
| K-0932 | Meet other general requirements. | Waiver has been granted (February 20, 2025) |
September 30, 2021 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (November 5, 2021) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (November 5, 2021) |
March 5, 2020 — 14 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (April 10, 2020) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (April 10, 2020) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (April 10, 2020) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (April 10, 2020) |
| E-0023 | Establish policies and procedures for medical documentation. | Deficient, Provider has date of correction (April 10, 2020) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (April 10, 2020) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (April 10, 2020) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (April 10, 2020) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (April 10, 2020) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (April 10, 2020) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (April 10, 2020) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (April 10, 2020) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (April 10, 2020) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (March 25, 2020) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.