Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
BROOKSIDE REHAB & NURSING CENTER
WARRENTON, VA · 130 certified beds · Last Life Safety survey August 8, 2024
CMS Certification Number 495267 · first certified September 1992
Ownership
Operated by HILL VALLEY HEALTHCARE · For profit - Limited Liability company
- Ownership changed March 17, 2016 (change of ownership)to BROOKSIDE REHAB AND NURSING CENTER from OAK SPRINGS NURSING HOME LLC
Position within VA
13 citations — more than 59% 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 0 citations; the earlier surveys in the window averaged 6.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was August 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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Physical environment (health survey)
6 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 13 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-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-0880 Provide and implement an infection prevention and control program.
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 | 13 |
| Median facility in VA | 10 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| February 17, 2022 | 12 |
| September 1, 2023 | 1 |
| August 8, 2024 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2022-02-17 |
| K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | 1 | 2022-02-17 |
| K-0293 | Have properly located and lighted "Exit" signs. | 1 | 2022-02-17 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2022-02-17 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2022-02-17 |
| K-0200 | Meet other general requirements. | 1 | 2022-02-17 |
| 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. | 1 | 2022-02-17 |
| K-0255 | Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | 1 | 2022-02-17 |
What the citations cover
- Egress Deficiencies 6
- Smoke Deficiencies 3
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Miscellaneous Deficiencies 2
| Category | Citations |
|---|---|
| Egress Deficiencies | 6 |
| Smoke Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Miscellaneous Deficiencies | 2 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
September 1, 2023 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| 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 (September 18, 2023) |
February 17, 2022 — 12 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0200 | Meet other general requirements. | Waiver has been granted (September 18, 2023) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Waiver has been granted (September 18, 2023) |
| 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 (September 18, 2023) |
| K-0255 | Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Deficient, Provider has date of correction (April 4, 2022) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (April 4, 2022) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (April 4, 2022) |
| K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Deficient, Provider has date of correction (April 4, 2022) |
| K-0363 | Install corridor and hallway doors that block smoke. | Waiver has been granted (September 18, 2023) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (April 4, 2022) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (April 4, 2022) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Waiver has been granted (September 18, 2023) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (April 4, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.