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

REGENCY HEALTH AND REHABILITATION CENTER

YORKTOWN, VA · 60 certified beds · Last Life Safety survey February 8, 2024

CMS Certification Number 495189 · first certified May 1989

Ownership

Operated by LIFEWORKS REHAB · For profit - Limited Liability company

  • Ownership changed May 28, 2021 (change of ownership)to REGENCY HEALTH & REHABILITATION CENTER from MEDICAL FACILITIES OF AMERICA XLII
9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within VA

9 citations — more than 41% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 3. 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: September 2026 to September 2027. This facility’s last Life Safety survey was February 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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Which alerts

Emergency preparedness

2 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

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 9 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-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.

This facility9VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
22018-1142021-0732024-02
Citations at each Life Safety survey
Survey dateCitations
November 1, 20182
July 15, 20214
February 8, 20243

Most-cited tags

Most-cited tags at this facility
K-02911K-09201E-00411K-09151K-01001K-03531K-09231E-00151
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0291Install emergency lighting that can last at least 1 1/2 hours.12021-07-15
K-0920Ensure proper usage of power strips and extension cords.12018-11-01
E-0041Implement emergency and standby power systems.12021-07-15
K-0915Have proper power supply for life support equipment.12021-07-15
K-0100Meet other general requirements.12024-02-08
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-02-08
K-0923Have proper medical gas storage and administration areas.12018-11-01
E-0015Address subsistence needs for staff and patients.12021-07-15

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Emergency Preparedness Deficiencies 2
  • Miscellaneous Deficiencies 1
  • Construction Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies2
Miscellaneous Deficiencies1
Construction Deficiencies1
Egress Deficiencies1
Smoke Deficiencies1

Every citation on file

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

February 8, 2024 — 3 citations

Citations issued on February 8, 2024
TagWhat the surveyor checksStatus
K-0100Meet other general requirements.Deficient, Provider has date of correction (March 23, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 23, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (March 23, 2024)

July 15, 2021 — 4 citations

Citations issued on July 15, 2021
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (August 23, 2021)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (August 23, 2021)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (July 29, 2021)
K-0915Have proper power supply for life support equipment.Deficient, Provider has date of correction (July 29, 2021)

November 1, 2018 — 2 citations

Citations issued on November 1, 2018
TagWhat the surveyor checksStatus
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 14, 2019)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 14, 2019)

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