15 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Petersburg, VA
2-star overall rating with 3-star inspections with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
46 Diamond Drive, Petersburg, VA
(804) 518-0780
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
56
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Commonwealth Care Of Roanoke
Operator or chain grouping
Approved since
2008-10-28
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 facilities
Chain averages 4 overall / 3 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
0.44
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.35
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.97
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.75
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.78
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.15
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.23
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
3.44
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
73%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
75%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
10,675
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
19.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9822
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.36
Baseline 23.57% · Performance 22.36% · Measure score 1.36 · Achievement 0 · Improvement 1.36
Healthcare-associated infections
5.48
Baseline 12.49% · Performance 8.01% · Measure score 5.48 · Achievement 0 · Improvement 5.48
Total nurse turnover
0
Baseline 58.93% · Performance 72.37% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0.97
Baseline 2.78 hours · Performance 3.22 hours · Measure score 0.97 · Achievement 0.51 · Improvement 0.97
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.84% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 214 · Observed rate 8.88% · Lower 95% interval 7.39% |
| Discharge to community | 58.67% |
50.57%
8.1 pts better
|
Better than the National Rate · Eligible stays 227 · Observed rate 51.54% · Lower 95% interval 50.96% |
| Medicare spending per beneficiary | 1.27 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 157 · Denominator 157 |
| Falls with major injury | 0.64% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 157 |
| Discharge self-care score | 61.22% |
53.69%
7.5 pts better
|
Numerator 60 · Denominator 98 |
| Discharge mobility score | 54.08% |
50.94%
3.1 pts better
|
Numerator 53 · Denominator 98 |
| Pressure ulcers or injuries, new or worsened | 1.91% |
2.29%
0.4 pts better
|
Numerator 3 · Denominator 157 · Adjusted rate 1.52% |
| Healthcare-associated infections requiring hospitalization | 8.01% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 149 · Observed rate 8.72% · Lower 95% interval 5.03% |
| Staff COVID-19 vaccination coverage | 9.3% |
8.2%
1.1 pts better
|
Numerator 8 · Denominator 86 |
| Staff flu vaccination coverage | 33.04% |
42%
9 pts worse
|
Numerator 38 · Denominator 115 |
| Discharge function score | 64.29% |
56.45%
7.8 pts better
|
Numerator 63 · Denominator 98 |
| Transfer of health information to provider | 99.04% |
95.95%
3.1 pts better
|
Numerator 103 · Denominator 104 |
| Transfer of health information to patient | 95.24% |
96.28%
1 pts worse
|
Numerator 40 · Denominator 42 |
| Resident COVID-19 vaccinations up to date | 17.65% |
25.2%
7.6 pts worse
|
Numerator 15 · Denominator 85 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.7% |
91.2%
6.5 pts better
|
93.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 96.9% · Q4 94.6% · 4Q avg 97.7% |
| 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 | 3.9% |
3.6%
0.3 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 3.3% · Q3 3.1% · Q4 2.7% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.8% |
15.7%
14.9 pts better
|
11.4%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.0% · 4Q avg 0.8% |
| Percentage of long-stay residents who lose too much weight | 12.0% |
5.7%
6.3 pts worse
|
5.4%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 6.9% · Q3 12.5% · Q4 16.2% · 4Q avg 12.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.8% |
20.2%
0.4 pts better
|
19.6%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 17.2% · Q3 21.9% · Q4 24.3% · 4Q avg 19.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.9% |
15.0%
12.1 pts better
|
16.7%
13.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.7% · Q4 6.9% · 4Q avg 2.9% · 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 | 25.9% |
17.5%
8.4 pts worse
|
16.3%
9.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.9% |
15.7%
1.8 pts better
|
14.9%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 14.8% · Q3 15.6% · Q4 13.9% · 4Q avg 13.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.5%
0.7 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.5% · Q3 1.8% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
1.6%
0.8 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.7% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.7% |
22.2%
0.5 pts better
|
19.8%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 27.4% · Q3 23.7% · Q4 6.6% · 4Q avg 21.7% |
| Percentage of long-stay residents with pressure ulcers | 11.3% |
5.2%
6.1 pts worse
|
5.1%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 12.2% · Q3 12.7% · Q4 12.5% · 4Q avg 11.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.7% |
74.6%
3.1 pts better
|
81.7%
4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 96.3% · Q2 74.0% · Q3 68.4% · Q4 71.3% · 4Q avg 77.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.0% |
11.7%
6.3 pts worse
|
12.0%
6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.0% · Observed 17.9% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.2%
0.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.8% |
73.6%
4.2 pts better
|
79.7%
1.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.8% |
22.0%
0.2 pts better
|
23.9%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.8% · Observed 22.4% · Expected 24.4% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
3 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Top issue: Resident Assessment and Care Planning (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-03-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-30
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-09-30
Fire Safety
Use approved construction type or materials.
Corrected 2022-09-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-05-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-05-17
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-05-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-05-17
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-05-17
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Not marked corrected
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-25
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-02-25
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 2025-02-25
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-25
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-25
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-03-19
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-03-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-19
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-19
Health
Respond appropriately to all alleged violations.
Corrected 2024-03-19
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-03-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-19
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-19
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-03-19
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 2024-03-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-19
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-19
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-19
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-03-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-08-03
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-08-03
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-08-03
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-08-03
Health
Provide and implement an infection prevention and control program.
Corrected 2022-08-03
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-08-03
Health
Dispose of garbage and refuse properly.
Corrected 2022-08-03
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 2021-03-31
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-03-31
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Nearby options
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Petersburg, VA
3-star overall rating with 2-star inspections with 25 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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