Federal inspection record · CMS data as of October 1, 2026
Deep Creek Health & Rehabilitation
1017 George Washington Highway North, Chesapeake, VA · (757) 485-5500
- Certified beds
- 120
- Residents per day
- 0
- Ownership
- For-Profit
- Chain
- Ark Post Acute Network
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1998
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
-
Staffing
Not ratednot rated
CMS did not rate staffing here, so it does not move the star.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Deep Creek Health & Rehabilitation carries 66 inspection points. That is fewer than 49% of Virginia's 287 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–45 pts
- 3★ 45–76.5 pts
- 2★ 76.5–168.75 pts
- 1★ over 168.75 pts
Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
44 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights12E
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
- E
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.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
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.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning10E
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Assess the resident when there is a significant change in condition
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- B
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Quality of Life and Care9E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate foot care.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service3E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nursing and Physician Services3E
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Administration2E
- E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- E
Provide timely, quality laboratory services/tests to meet the needs of residents.
Nutrition and Dietary2D
- D
Dispose of garbage and refuse properly.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Environmental1F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2025-09-19
6 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2021-07-22
20 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Rights (7 deficiencies)
2019-04-16
18 health deficiencies · 26 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.4 pts worse | 2.8 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 1.8 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine19.9 pts worse | 71.3% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.2 pts worse | 88.1% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better | 2.2% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.3 pts better | 14.2% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts worse | 6.6% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5 pts worse | 25.7% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.5 pts worse | 17.7% | 14.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.8 pts worse | 20.0% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.5 pts worse | 23.0% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.2% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 0.3% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.7 pts worse | 31.0% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts worse | 7.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine29 pts worse | 45.2% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9 pts worse | 20.5% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts worse | 2.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine32.9 pts worse | 40.4% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.6 pts better | 15.4% | 22.0% | 23.4% |
·
Fire safety
43 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness28F
- F
Conduct testing and exercise requirements.
- C
Provide a means of sharing information on occupancy/needs.
- C
Provide family notifications of emergency plan.
- C
Establish emergency prep training and testing.
- C
Establish staff and initial training requirements.
- C
Conduct risk assessment and an All-Hazards approach.
- C
Develop Emergency Preparedness policies and procedures.
- C
Address subsistence needs for staff and patients.
- C
Establish procedures for tracking staff and patients during an emergency.
- C
Establish policies and procedures including evacuation.
- C
Establish policies and procedures for sheltering.
- C
Establish policies and procedures for medical documentation.
- C
Establish policies and procedures for volunteers.
- C
Create arrangements with other facilities to receive patients.
- C
Establish roles under a Waiver declared by secretary.
- C
Develop a communication plan.
- C
List the names and contact information of those in the facility.
- C
Provide emergency officials' contact information.
- C
Establish methods for sharing information.
- C
Provide a means of sharing information on occupancy/needs.
- C
Provide family notifications of emergency plan.
- C
Establish emergency prep training and testing.
- C
Establish staff and initial training requirements.
- C
Conduct testing and exercise requirements.
- C
Develop and maintain an Emergency Preparedness Program (EP).
- C
Implement emergency and standby power systems.
- C
Address patient/client population and determine types of services needed.
- C
Include a process for Emergency Preparedness collaboration.
Smoke6F
- E
Meet other general requirements.
- D
Provide properly protected cooking facilities.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Egress3E
- E
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.
- D
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.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems3E
- E
Meet requirements for the installation and maintenance of electrical systems.
- D
Ensure that testing and maintenance of electrical equipment is performed.
- D
Have proper power supply for life support equipment.
Construction2E
- D
Meet other general requirements.
- E
Meet other general requirements.
Miscellaneous1D
- D
Meet fire sprinkler requirement for tall buildings.
·
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