14 health deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
South Boston, VA
2-star overall rating with 2-star inspections with 14 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
621 Berry Hill Road, South Boston, VA
(434) 572-8901
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
48
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-03-27
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.71
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.89
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.41
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.51
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.09
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.46
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.78
CMS adjusted RN staffing hours
Adjusted total hours
3.78
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
10,901
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.70
Composite VBP score used to determine payment impact.
Payment multiplier
0.9820
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.64
Baseline 18.87% · Performance 20.21% · Measure score 2.64 · Achievement 2.64 · Improvement 0
Healthcare-associated infections
2.04
Baseline 10.14% · Performance 8.84% · Measure score 2.04 · Achievement 0 · Improvement 2.04
Total nurse turnover
1.34
Baseline 61.54% · Performance 58.18% · Measure score 1.34 · Achievement 1.34 · Improvement 0.41
Adjusted total nurse staffing
1.45
Baseline 3.17 hours · Performance 3.49 hours · Measure score 1.45 · Achievement 1.45 · Improvement 0.72
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.92% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 102 · Observed rate 12.75% · Lower 95% interval 8.04% |
| Discharge to community | 52.48% |
50.57%
1.9 pts better
|
No Different than the National Rate · Eligible stays 95 · Observed rate 45.26% · Lower 95% interval 42.88% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 45 · Denominator 45 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 45 |
| Discharge self-care score | 38.46% |
53.69%
15.2 pts worse
|
Numerator 10 · Denominator 26 |
| Discharge mobility score | 42.31% |
50.94%
8.6 pts worse
|
Numerator 11 · Denominator 26 |
| Pressure ulcers or injuries, new or worsened | 2.22% |
2.29%
0.1 pts better
|
Numerator 1 · Denominator 45 · Adjusted rate 2.11% |
| Healthcare-associated infections requiring hospitalization | 8.84% |
7.12%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 63 · Observed rate 12.7% · Lower 95% interval 5.93% |
| Staff COVID-19 vaccination coverage | 6.74% |
8.2%
1.5 pts worse
|
Numerator 6 · Denominator 89 |
| Staff flu vaccination coverage | 33.33% |
42%
8.7 pts worse
|
Numerator 38 · Denominator 114 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 13 · Denominator 26 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 95.65% |
96.28%
0.6 pts worse
|
Numerator 22 · Denominator 23 |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.5
0.2 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.4
0.9 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.9 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.0%
6 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
3.6%
1.1 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 2.0% · Q3 2.0% · Q4 2.2% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
15.7%
15.1 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 2.7% |
5.7%
3 pts better
|
5.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.1% · Q3 2.2% · Q4 2.3% · 4Q avg 2.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.5% |
20.2%
0.3 pts worse
|
19.6%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 20.8% · Q3 21.3% · Q4 20.9% · 4Q avg 20.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.0% |
15.0%
11 pts worse
|
16.7%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 27.3% · Q3 23.3% · Q4 26.8% · 4Q avg 26.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.8% |
17.5%
11.7 pts better
|
16.3%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 5.4% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.0% |
15.7%
11.7 pts better
|
14.9%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 0.0% · Q3 4.7% · Q4 4.9% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.5%
0.5 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.6%
1.6 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.8% |
22.2%
18.4 pts better
|
19.8%
16 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.2% · Q3 4.3% · Q4 6.9% · 4Q avg 3.8% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
5.2%
1.3 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 8.6% · Q3 6.5% · Q4 4.4% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.0% |
74.6%
18.4 pts better
|
81.7%
11.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 75.9% · Q2 97.1% · Q3 97.1% · Q4 100.0% · 4Q avg 93.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 32.7% |
11.7%
21 pts worse
|
12.0%
20.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.7% · Observed 27.8% · Expected 9.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.2% |
73.6%
23.6 pts better
|
79.7%
17.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.5% |
22.0%
12.5 pts worse
|
23.9%
10.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.5% · Observed 27.8% · Expected 19.2% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (7 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Resident Rights (6 deficiencies)
9 fire-safety deficiencies
Top issue: Miscellaneous (3 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Meet other general requirements.
Corrected 2024-09-19
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-09-19
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-02-04
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-02-04
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-02-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-02-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-06-10
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-02-04
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-06-10
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-02-04
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-02-04
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2020-03-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-03-13
Inspection history
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-10-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-01
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-10-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-01
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-10-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-01
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-10-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-01
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-10-01
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-10-01
Health
Provide or obtain dental services for each resident.
Corrected 2024-10-01
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2024-10-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-01
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2022-01-30
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2022-01-30
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-30
Health
Implement a program that monitors antibiotic use.
Corrected 2022-01-30
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2022-01-30
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-01-30
Health
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2022-01-30
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2022-01-30
Health
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.
Corrected 2022-01-30
Health
Provide activities to meet all resident's needs.
Corrected 2022-01-30
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2022-01-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-01-30
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-01-30
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2022-01-30
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-01-30
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-01-30
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-01-30
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-01-30
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-01-30
Health
Post nurse staffing information every day.
Corrected 2022-01-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-02-11
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2020-02-11
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2020-02-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-02-11
Health
Keep all essential equipment working safely.
Corrected 2020-02-11
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-02-11
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2020-02-11
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2020-02-11
Health
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.
Corrected 2020-02-11
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
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