Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
SKYLINE TERRACE CONV HOME
WOODSTOCK, VA · 70 certified beds · Last Life Safety survey October 15, 2025
CMS Certification Number 49E075 · first certified March 1974
Also on this campus
The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Memory Lane Assisted Living (123 Lakeview Drive). Matched by the telephone number the two records share. The records are separate and are never added together.
Ownership
Independently operated (no chain recorded by CMS) · For profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within VA
9 citations — more than 40% 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 3 citations; the earlier surveys on file averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens June 2028 — about 19 months from now. This facility’s last Life Safety survey was October 2025. Facilities in VA are typically surveyed 32–45 months after the last one (median 38), measured over 123 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 about three years in Virginia. How the window is measured
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Emergency preparedness
3 of the 9 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
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 | 9 |
| Median facility in VA | 10 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| July 22, 2021 | 2 |
| January 31, 2023 | 4 |
| October 15, 2025 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0293 | Have properly located and lighted "Exit" signs. | 1 | 2025-10-15 |
| 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 | 2021-07-22 |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | 1 | 2021-07-22 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2023-01-31 |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2025-10-15 |
| K-0271 | Have exits that are accessible at all times. | 1 | 2025-10-15 |
| E-0023 | Establish policies and procedures for medical documentation. | 1 | 2023-01-31 |
| E-0022 | Establish policies and procedures for sheltering. | 1 | 2023-01-31 |
What the citations cover
- Egress Deficiencies 3
- Emergency Preparedness Deficiencies 3
- Smoke Deficiencies 2
- Miscellaneous Deficiencies 1
| Category | Citations |
|---|---|
| Egress Deficiencies | 3 |
| Emergency Preparedness Deficiencies | 3 |
| Smoke Deficiencies | 2 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
October 15, 2025 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (May 1, 2026) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (May 1, 2026) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (May 1, 2026) |
January 31, 2023 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (February 24, 2023) |
| E-0023 | Establish policies and procedures for medical documentation. | Deficient, Provider has date of correction (February 24, 2023) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (February 24, 2023) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (September 26, 2023) |
July 22, 2021 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| 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 (August 31, 2021) |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | Deficient, Provider has date of correction (August 31, 2021) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.