Deficiency Index

Birmingham Green

Manassas, Virginia · CCN 495390

12 surveys since 2011, 5 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
50
Surveys
12
Harm or worse
5
Immediate jeopardy
0
The record, 2011–2022
’11’15’20’22
No harm recordedHarm or worseNot surveyed
Harm or worse5

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file10/12

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
180
Ownership
Government - City/county
Chain
Independent
County
Manassas City
Medicare-certified since
2006

CMS ratings

Overall
5
Health inspection
5
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=1, floor 20).

Last survey on record

Jan 31, 2020

2,474 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.764.03
Registered-nurse hours per resident day0.58—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG16.7%H—I—
No harm, potential for more than minimalD1280.0%E213.3%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 15 of the 50 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5832×

    Keep residents' personal and medical records private and confidential.

  • F7582×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  • F6001×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6571×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

In the surveyor’s words

From the most serious findings on record at Birmingham Green, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF826Apr 21, 2022

    Based on a complaint investigation, medical record review, staff interviews and facility document review the facility staff failed to ensure Rehabilitation Services were provided after 6 insurance rehabilitative service visits were authorized to 1 of 3 residents in the survey sample, Resident #2. The facility staff failed to provide Resident #2 with Rehabilitation Services after 6 insurance rehabilitative service days dated 3/27/20 through 6/25/2020 were authorized. The findings included: Resident #2 was initially admitted to the facility on [DATE] with diagnoses to include but not limited to Alzheimer's Disease, Dementia and Bilateral Osteoarthritis of Knee. Resident #2's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 2/27/20 was reviewed. […]

Read 21 findings in full →The most serious and the most recent: 21 of 50 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 21, 2022Complaint1 finding
  • Nov 13, 2020Complaint2 findings · 1 harm
  • Jun 26, 2020Infection control1 finding
  • Jan 31, 2020Standard8 findings · 1 harm
  • Mar 6, 2018Standard7 findings
  • Oct 20, 2016Standard2 findings · 1 harm
  • Sep 17, 2015Standard and complaint9 findings
  • Jan 22, 2015Complaint1 finding · 1 harm
Show the 4 earlier surveys
  • Jul 31, 2014Standard and complaint6 findings
  • Jul 12, 2013Standard4 findings · 1 harm
  • Jul 19, 2012—3 findings
  • May 6, 2011—6 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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