Cycle 1
Health 2022-01-18 · Fire 2022-01-18
15 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Virginia Beach, VA
Kempsville Health & Rehab Center
1-star overall rating with 2-star inspections with 15 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
5520 Indian River Road, Virginia Beach, VA
(757) 420-3600
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
90
Certified beds
Average residents
86
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Saber Healthcare Group
Operator or chain grouping
Approved since
1991-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
126 facilities
Chain averages 3 overall / 3 health / 3 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
Hours and turnover
RN hours / resident day
0.39
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.28
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
3.56
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.67
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.11
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.26
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
3.36
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
62%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
54%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,960
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.92
Composite VBP score used to determine payment impact.
Payment multiplier
0.9827
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 23.22% · Performance 23.09% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.69
Baseline 5.30% · Performance 6.13% · Measure score 5.69 · Achievement 5.69 · Improvement 0
Total nurse turnover
1.46
Baseline 30.91% · Performance 57.69% · Measure score 1.46 · Achievement 1.46 · Improvement 0
Adjusted total nurse staffing
1.61
Baseline 3.25 hours · Performance 3.54 hours · Measure score 1.61 · Achievement 1.61 · Improvement 0.64
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.15% |
10.72%
3.4 pts worse
|
Worse than the National Rate · Eligible stays 298 · Observed rate 18.12% · Lower 95% interval 11.24% |
| Discharge to community | 63.04% |
50.57%
12.5 pts better
|
Better than the National Rate · Eligible stays 300 · Observed rate 51.67% · Lower 95% interval 56.45% |
| Medicare spending per beneficiary | 0.74 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 91.03% |
95.27%
4.2 pts worse
|
Numerator 203 · Denominator 223 |
| Falls with major injury | 0.45% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 223 |
| Discharge self-care score | 47.06% |
53.69%
6.6 pts worse
|
Numerator 80 · Denominator 170 |
| Discharge mobility score | 40% |
50.94%
10.9 pts worse
|
Numerator 68 · Denominator 170 |
| Pressure ulcers or injuries, new or worsened | 0.45% |
2.29%
1.8 pts better
|
Numerator 1 · Denominator 223 · Adjusted rate 0.43% |
| Healthcare-associated infections requiring hospitalization | 6.13% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 179 · Observed rate 5.59% · Lower 95% interval 4.1% |
| Staff COVID-19 vaccination coverage | 2.78% |
8.2%
5.4 pts worse
|
Numerator 3 · Denominator 108 |
| Staff flu vaccination coverage | 10.2% |
42%
31.8 pts worse
|
Numerator 10 · Denominator 98 |
| Discharge function score | 44.12% |
56.45%
12.3 pts worse
|
Numerator 75 · Denominator 170 |
| Transfer of health information to provider | 77.11% |
95.95%
18.8 pts worse
|
Numerator 64 · Denominator 83 |
| Transfer of health information to patient | 75.21% |
96.28%
21.1 pts worse
|
Numerator 88 · Denominator 117 |
| Resident COVID-19 vaccinations up to date | 31.3% |
25.2%
6.1 pts better
|
Numerator 41 · Denominator 131 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 69.4% |
91.2%
21.8 pts worse
|
93.4%
24 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 60.0% · Q2 61.8% · Q3 72.2% · Q4 84.9% · 4Q avg 69.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.5% |
94.0%
6.5 pts worse
|
95.5%
8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.9% |
3.6%
2.7 pts better
|
3.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 1.9% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 19.4% |
15.7%
3.7 pts worse
|
11.4%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 16.0% · Q3 19.6% · Q4 19.0% · 4Q avg 19.4% |
| Percentage of long-stay residents who lose too much weight | 2.1% |
5.7%
3.6 pts better
|
5.4%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 0.0% · Q4 6.4% · 4Q avg 2.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.8% |
20.2%
1.4 pts better
|
19.6%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 22.0% · Q3 24.5% · Q4 14.9% · 4Q avg 18.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.0% |
15.0%
4 pts better
|
16.7%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 11.1% · Q3 13.2% · Q4 14.3% · 4Q avg 11.0% · 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 | 10.4% |
17.5%
7.1 pts better
|
16.3%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.2% |
15.7%
8.5 pts better
|
14.9%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.9% · Q3 11.6% · Q4 7.3% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
0.5%
0.8 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · 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 | 13.1% |
22.2%
9.1 pts better
|
19.8%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 11.8% · Q3 16.8% · Q4 6.6% · 4Q avg 13.1% |
| Percentage of long-stay residents with pressure ulcers | 2.4% |
5.2%
2.8 pts better
|
5.1%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 1.4% · Q3 0.0% · Q4 2.6% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 47.1% |
74.6%
27.5 pts worse
|
81.7%
34.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 35.2% · Q2 51.1% · Q3 51.8% · Q4 48.0% · 4Q avg 47.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.5% |
11.7%
6.8 pts worse
|
12.0%
6.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.5% · Observed 18.4% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.2%
0.6 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.4% · Q3 0.4% · Q4 0.9% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 54.2% |
73.6%
19.4 pts worse
|
79.7%
25.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 54.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.5% |
22.0%
8.5 pts worse
|
23.9%
6.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.5% · Observed 31.6% · Expected 24.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-07-11 · Fire 2019-07-11
13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2017-10-05 · Fire 2017-10-05
8 health deficiencies
Top issue: Environmental (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-01-18
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2022-02-17
D · Potential for more than minimal harm
2019-07-11
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-09-05
F · Potential for more than minimal harm
2017-10-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2017-12-17
F · Potential for more than minimal harm
2017-10-05
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2017-12-17
E · Potential for more than minimal harm
2017-10-05
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2017-12-17
E · Potential for more than minimal harm
2017-10-05
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2017-12-17
D · Potential for more than minimal harm
2017-10-05
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2017-12-17
D · Potential for more than minimal harm
2017-10-05
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2017-12-17
Inspection history
Recent health citations
G · Actual harm
2022-01-18
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-02-17
D · Potential for more than minimal harm
2022-01-18
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-02-17
D · Potential for more than minimal harm
2022-01-18
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2022-04-04
D · Potential for more than minimal harm
2022-01-18
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-02-17
D · Potential for more than minimal harm
2022-01-18
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-02-17
D · Potential for more than minimal harm
2022-01-18
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-02-17
D · Potential for more than minimal harm
2022-01-18
F657 · Resident Assessment and Care Planning Deficiencies
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 2022-02-17
D · Potential for more than minimal harm
2022-01-18
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-02-17
D · Potential for more than minimal harm
2022-01-18
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2022-02-17
D · Potential for more than minimal harm
2022-01-18
F690 · Quality of Life and Care Deficiencies
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 2022-02-17
D · Potential for more than minimal harm
2022-01-18
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-02-17
D · Potential for more than minimal harm
2022-01-18
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-02-17
D · Potential for more than minimal harm
2022-01-18
F761 · Pharmacy Service Deficiencies
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 2022-02-17
D · Potential for more than minimal harm
2022-01-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-02-17
D · Potential for more than minimal harm
2022-01-18
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2022-02-17
D · Potential for more than minimal harm
2019-07-11
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2019-08-19
D · Potential for more than minimal harm
2019-07-11
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2019-08-19
D · Potential for more than minimal harm
2019-07-11
F622 · Resident Rights Deficiencies
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 2019-08-19
D · Potential for more than minimal harm
2019-07-11
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-08-19
D · Potential for more than minimal harm
2019-07-11
F625 · Resident Rights Deficiencies
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 2019-08-19
D · Potential for more than minimal harm
2019-07-11
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-08-19
D · Potential for more than minimal harm
2019-07-11
F657 · Resident Assessment and Care Planning Deficiencies
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 2019-08-19
D · Potential for more than minimal harm
2019-07-11
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-08-19
D · Potential for more than minimal harm
2019-07-11
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-08-19
D · Potential for more than minimal harm
2019-07-11
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-08-19
D · Potential for more than minimal harm
2019-07-11
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-08-19
D · Potential for more than minimal harm
2019-07-11
F745 · Quality of Life and Care Deficiencies
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2019-08-19
D · Potential for more than minimal harm
2019-07-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-08-19
D · Potential for more than minimal harm
2017-10-05
F176 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined safe.
Corrected 2017-11-09
D · Potential for more than minimal harm
2017-10-05
F278 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment by a qualified health professional.
Corrected 2017-11-09
D · Potential for more than minimal harm
2017-10-05
F279 · Resident Assessment and Care Planning Deficiencies
Health
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2017-11-09
D · Potential for more than minimal harm
2017-10-05
F309 · Quality of Life and Care Deficiencies
Health
Provide necessary care and services to maintain or improve the highest well being of each resident .
Corrected 2017-11-09
D · Potential for more than minimal harm
2017-10-05
F322 · Quality of Life and Care Deficiencies
Health
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
Corrected 2017-11-09
D · Potential for more than minimal harm
2017-10-05
F323 · Environmental Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Corrected 2017-11-09
D · Potential for more than minimal harm
2017-10-05
F431 · Pharmacy Service Deficiencies
Health
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Corrected 2017-11-09
D · Potential for more than minimal harm
2017-10-05
F441 · Environmental Deficiencies
Health
Have a program that investigates, controls and keeps infection from spreading.
Corrected 2017-11-09
Penalties and ownership
What sits behind the stars
Ownership
Saber Healthcare Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)
5% Or Greater Indirect Ownership Interest · Organization
Bnv Dynasty LLC
5% Or Greater Indirect Ownership Interest · Organization
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020
5% Or Greater Indirect Ownership Interest · Organization
Jackson, Ashley
Operational/Managerial Control · Individual
Nicoluzakis, Gregory
Corporate Officer · Individual
Saber Governance LLC
Operational/Managerial Control · Organization
Shg Management LLC
Operational/Managerial Control · Organization
Vevoda, David
Operational/Managerial Control · Individual
Volpe, Benjamin
Corporate Director · Individual
Volpe, Benjamin
Corporate Officer · Individual
Weisberg, William
Corporate Director · Individual
Weisberg, William
Corporate Officer · Individual
Wiw Dynasty LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
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Maimonides Health Center Of Virginia Beach
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
#2
Waterside Health & Rehab Center
Norfolk, VA
3-star overall rating with 3-star inspections with $8,375 in total fines with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Our Lady Of Perpetual Help
Virginia Beach, VA
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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