Cycle 1
Health 2023-05-18 · Fire 2023-05-18
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Richmond, VA
Cedarfield Pinnacle Living
0-star overall rating with 0-star inspections
2300 Cedarfield Parkway, Richmond, VA
(804) 474-8800
Overall
0 / 5
CMS overall stars
Health inspections
0 / 5
Survey and complaint cycles
Staffing
0 / 5
RN + nurse staffing
Quality measures
0 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
20
Certified beds
Average residents
16
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2023-05-18
CMS approved date
Coverage
Medicare
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
Hours and turnover
RN hours / resident day
2.62
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.63
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
2.48
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
6.73
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
4.25
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
5.97
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
2.27
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.29
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | 97.78% |
95.27%
2.5 pts better
|
Numerator 44 · Denominator 45 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 45 |
| Discharge self-care score | 67.74% |
53.69%
14 pts better
|
Numerator 21 · Denominator 31 |
| Discharge mobility score | 64.52% |
50.94%
13.6 pts better
|
Numerator 20 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 4.44% |
2.29%
2.2 pts worse
|
Numerator 2 · Denominator 45 · Adjusted rate 5.44% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 10.82% |
8.2%
2.6 pts better
|
Numerator 61 · Denominator 564 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 74.19% |
56.45%
17.7 pts better
|
Numerator 23 · Denominator 31 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 22 · Denominator 22 |
| Resident COVID-19 vaccinations up to date | 52.5% |
25.2%
27.3 pts better
|
Numerator 21 · Denominator 40 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.6%
3.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.5% |
15.7%
11.2 pts better
|
11.4%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.9% |
20.2%
22.7 pts worse
|
19.6%
23.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 42.9% |
| 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 · 4Q avg 0.0% |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.3% |
1.6%
2.7 pts worse
|
1.7%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
5.2%
5.2 pts better
|
5.1%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% |
74.6%
23 pts better
|
81.7%
15.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 97.6% · Q3 100.0% · Q4 95.8% · 4Q avg 97.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.5% |
11.7%
4.2 pts better
|
12.0%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.5% · Observed 6.1% · Expected 9.1% · 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% · Q4 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 | 95.2% |
73.6%
21.6 pts better
|
79.7%
15.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 45.8% |
22.0%
23.8 pts worse
|
23.9%
21.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 45.8% · Observed 33.3% · Expected 17.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Inspection history
Recent health citations
Penalties and ownership
What sits behind the stars
Ownership
Virginia United Methodist Homes, Inc.
5% Or Greater Direct Ownership Interest · Organization
Bruny, Kevin
Corporate Director · Individual
Cauffman, Shirley
Corporate Director · Individual
Chapman, Amy
Operational/Managerial Control · Individual
Coleman, Henry
Corporate Director · Individual
Green, James
Operational/Managerial Control · Individual
Henderson, Christopher
Corporate Director · Individual
Henderson, Christopher
Corporate Officer · Individual
Hetherington, Jason
Corporate Director · Individual
Hornbeck, Jane
Operational/Managerial Control · Individual
Hornbeck, Jane
Corporate Director · Individual
Jones, Steven
Corporate Director · Individual
Lakkis, Rouba
Operational/Managerial Control · Individual
Netting, Florence
Corporate Director · Individual
Nimon, Daniel
Corporate Officer · Individual
Salminen, Kevin
Corporate Officer · Individual
Taylor, David
Operational/Managerial Control · Individual
Williams, Lisa
Corporate Director · Individual
Nearby options
Other facilities in reach
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The Laurels Of University Park
Richmond, VA
2-star overall rating with 2-star inspections with 22 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Shalom Gardens Health & Rehabilitation
Richmond, VA
4-star overall rating with 4-star inspections with $12,177 in total fines with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
August Healthcare at Richmond
Richmond, VA
3-star overall rating with 2-star inspections with $14,300 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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