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

MAIMONIDES HEALTH CENTER OF VIRGINIA BEACH

VIRGINIA BEACH, VA · 120 certified beds · Last Life Safety survey January 26, 2023

CMS Certification Number 495186 · first certified January 1989

Ownership

Operated by GREEN TREE HEALTH MANAGEMENT · Non profit - Other

Ownership changed July 1, 2023 (change of ownership)from BETH SHOLOM HOME OF EASTERN VIRGINIA

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

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

Improvingfewer 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 10. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (August 2025 to August 2026). Most VA facilities have been surveyed by January 2027. This facility’s last Life Safety survey was January 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

10 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)

7 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-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

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.

Citations on file over three years, compared
Measure	Citations
This facility	23
Median facility in VA	10
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
April 20, 2018	8
October 10, 2019	12
January 26, 2023	3

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
E-0039	Conduct testing and exercise requirements.	2	2019-10-10
E-0025	Create arrangements with other facilities to receive patients.	2	2019-10-10
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	1	2019-10-10
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	1	2019-10-10
E-0024	Establish policies and procedures for volunteers.	1	2018-04-20
K-0900	Meet Health Care Facilities Code mechanical requirements.	1	2023-01-26
E-0007	Address patient/client population and determine types of services needed.	1	2018-04-20
K-0923	Have proper medical gas storage and administration areas.	1	2019-10-10

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 10
Gas, Vacuum, and Electrical Systems Deficiencies 5
Smoke Deficiencies 4
Miscellaneous Deficiencies 2
Other 2

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	10
Gas, Vacuum, and Electrical Systems Deficiencies	5
Smoke Deficiencies	4
Miscellaneous Deficiencies	2
Egress Deficiencies	2

Every citation on file

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

January 26, 2023 — 3 citations

Citations issued on January 26, 2023
Tag	What the surveyor checks	Status
K-0361	Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.	Deficient, Provider has date of correction (March 25, 2023)
K-0900	Meet Health Care Facilities Code mechanical requirements.	Deficient, Provider has date of correction (March 25, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 25, 2023)

October 10, 2019 — 12 citations

Citations issued on October 10, 2019
Tag	What the surveyor checks	Status
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (November 8, 2019)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (November 8, 2019)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (May 6, 2020)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (May 6, 2020)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (May 6, 2020)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (May 6, 2020)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (May 6, 2020)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (May 6, 2020)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (May 6, 2020)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (May 6, 2020)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (May 6, 2020)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (May 6, 2020)

April 20, 2018 — 8 citations

Citations issued on April 20, 2018
Tag	What the surveyor checks	Status
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (May 31, 2018)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (May 31, 2018)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (May 31, 2018)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (May 31, 2018)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (May 31, 2018)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (May 31, 2018)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (May 31, 2018)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (May 31, 2018)

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