17 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (9 deficiencies)
Chesapeake, VA
1-star overall rating with 1-star inspections with $24,577 in total fines with 17 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
688 Kingsborough Square, Chesapeake, VA
(757) 547-9111
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
180
Certified beds
Average residents
171
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Lifeworks Rehab
Operator or chain grouping
Approved since
1978-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
59 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars
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
0.37
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.04
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.67
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.09
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.61
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.33
CMS adjusted RN staffing hours
Adjusted total hours
2.73
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
11,047
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.20
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.60
Baseline 21.26% · Performance 20.23% · Measure score 2.60 · Achievement 2.60 · Improvement 1.94
Healthcare-associated infections
1.26
Baseline 7.53% · Performance 7.46% · Measure score 1.26 · Achievement 1.26 · Improvement 0
Total nurse turnover
3.42
Baseline 82.51% · Performance 59.90% · Measure score 3.42 · Achievement 0.92 · Improvement 3.42
Adjusted total nurse staffing
0
Baseline 2.74 hours · Performance 2.87 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.26% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 575 · Observed rate 12.35% · Lower 95% interval 8.76% |
| Discharge to community | 65.14% |
50.57%
14.6 pts better
|
Better than the National Rate · Eligible stays 648 · Observed rate 55.4% · Lower 95% interval 60.18% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.17% |
95.27%
3.9 pts better
|
Numerator 357 · Denominator 360 |
| Falls with major injury | 0.83% |
0.77%
0.1 pts worse
|
Numerator 3 · Denominator 360 |
| Discharge self-care score | 60.64% |
53.69%
7 pts better
|
Numerator 151 · Denominator 249 |
| Discharge mobility score | 65.86% |
50.94%
14.9 pts better
|
Numerator 164 · Denominator 249 |
| Pressure ulcers or injuries, new or worsened | 4.17% |
2.29%
1.9 pts worse
|
Numerator 15 · Denominator 360 · Adjusted rate 4.11% |
| Healthcare-associated infections requiring hospitalization | 7.46% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 395 · Observed rate 8.35% · Lower 95% interval 5.29% |
| Staff COVID-19 vaccination coverage | 9.38% |
8.2%
1.2 pts better
|
Numerator 18 · Denominator 192 |
| Staff flu vaccination coverage | 26.18% |
42%
15.8 pts worse
|
Numerator 50 · Denominator 191 |
| Discharge function score | 61.85% |
56.45%
5.4 pts better
|
Numerator 154 · Denominator 249 |
| Transfer of health information to provider | 97.64% |
95.95%
1.7 pts better
|
Numerator 124 · Denominator 127 |
| Transfer of health information to patient | 95.21% |
96.28%
1.1 pts worse
|
Numerator 179 · Denominator 188 |
| Resident COVID-19 vaccinations up to date | 26.47% |
25.2%
1.3 pts better
|
Numerator 54 · Denominator 204 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.5
0.1 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.7 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.4
0.3 pts worse
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.7 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.1% |
91.2%
3.9 pts better
|
93.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 88.0% · Q2 97.0% · Q3 98.5% · Q4 96.9% · 4Q avg 95.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.6% |
94.0%
0.4 pts worse
|
95.5%
1.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.6%
1.9 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.5% · Q3 1.5% · Q4 1.5% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 22.1% |
15.7%
6.4 pts worse
|
11.4%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 29.6% · Q3 23.1% · Q4 19.6% · 4Q avg 22.1% |
| Percentage of long-stay residents who lose too much weight | 2.2% |
5.7%
3.5 pts better
|
5.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.8% · Q3 3.9% · Q4 1.6% · 4Q avg 2.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.1% |
20.2%
5.1 pts better
|
19.6%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 16.8% · Q3 19.1% · Q4 10.9% · 4Q avg 15.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.4% |
15.0%
11.4 pts worse
|
16.7%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 29.2% · Q3 28.6% · Q4 23.4% · 4Q avg 26.4% · 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 | 21.0% |
17.5%
3.5 pts worse
|
16.3%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 19.1% · Q3 12.0% · Q4 28.4% · 4Q avg 21.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.2% |
15.7%
7.5 pts worse
|
14.9%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 17.6% · Q3 18.3% · Q4 32.8% · 4Q avg 23.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.5%
About the same
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.4% · Q3 0.9% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
1.6%
1.4 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.5% |
22.2%
2.3 pts worse
|
19.8%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 24.2% · Q3 16.8% · Q4 31.2% · 4Q avg 24.5% |
| Percentage of long-stay residents with pressure ulcers | 8.0% |
5.2%
2.8 pts worse
|
5.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 7.4% · Q3 6.0% · Q4 8.5% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.3% |
74.6%
13.7 pts better
|
81.7%
6.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.8% · Q2 91.8% · Q3 92.3% · Q4 83.0% · 4Q avg 88.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.4% |
11.7%
4.3 pts better
|
12.0%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.4% · Observed 7.4% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.2%
0.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.2% · Q3 1.3% · Q4 0.6% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.5% |
73.6%
13.9 pts better
|
79.7%
7.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.5% |
22.0%
2.5 pts better
|
23.9%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.5% · Observed 20.3% · Expected 24.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (9 deficiencies)
Top issue: Quality of Life and Care (9 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Top issue: Administration (2 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2022-06-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-24
Fire Safety
Have proper power supply for life support equipment.
Corrected 2022-06-24
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2022-01-27
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-01-27
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2022-01-27
Fire Safety
Develop a communication plan.
Corrected 2022-01-27
Fire Safety
List the names and contact information of those in the facility.
Corrected 2022-01-27
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-01-27
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-01-27
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2022-01-27
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2022-01-27
Fire Safety
Meet other general requirements.
Corrected 2019-08-13
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-08-13
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-08-13
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-08-13
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2017-10-31
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2017-10-31
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2017-10-31
Fire Safety
Provide rooms that can be unlocked from inside without a key.
Corrected 2017-10-31
Fire Safety
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.
Corrected 2017-10-31
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2017-10-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2017-10-31
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2017-10-31
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2017-10-31
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2017-10-31
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2017-10-31
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-03
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-01-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-04-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-01-27
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-01-27
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-01-27
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2022-01-27
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-01-27
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 2022-01-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-01-27
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-01-27
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-01-27
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-01-27
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2022-01-27
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2022-01-27
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-01-27
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-01-27
Health
Provide or obtain dental services for each resident.
Corrected 2022-01-27
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-01-27
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2022-01-27
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-07-24
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2019-07-24
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2019-07-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-07-24
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-07-24
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2019-07-24
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-07-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-08-26
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-07-24
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 2019-07-24
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2019-07-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-07-24
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 2019-08-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-07-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-07-24
Health
Provide appropriate foot care.
Corrected 2019-07-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-07-24
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2019-07-24
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-07-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-08-26
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-08-26
Health
Provide and implement an infection prevention and control program.
Corrected 2019-08-26
Health
Store, cook, and serve food in a safe and clean way.
Corrected 2017-10-18
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2017-10-18
Health
Allow residents to self-administer drugs if determined safe.
Corrected 2017-10-18
Health
Ensure each resident receives an accurate assessment by a qualified health professional.
Corrected 2017-10-18
Health
Allow residents the right to participate in the planning or revision of care and treatment.
Corrected 2017-10-18
Health
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Corrected 2017-10-18
Health
Provide or obtain laboratory services only when ordered by the attending physician.
Corrected 2017-10-18
Health
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Corrected 2017-10-18
Penalties and ownership
Fine · fine $11,180
Fine
Fine · fine $13,397
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Chesapeake, VA
3-star overall rating with 2-star inspections with $7,443 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Chesapeake, VA
3-star overall rating with 3-star inspections with 13 recent health deficiencies
Virginia Beach, VA
2-star overall rating with 2-star inspections with abuse icon flag with $39,318 in total fines with 24 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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