Cycle 1
Health 2022-02-03 · Fire 2022-02-03
2 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Suffolk, VA
Lake Prince Woods, Inc
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
100 Anna Goode Way, Suffolk, VA
(757) 923-5500
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
40
Certified beds
Average residents
25
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Everyage Senior Living
Operator or chain grouping
Approved since
2003-01-14
CMS approved date
Coverage
Medicare
Participation flags
Staffing
Hours and turnover
RN hours / resident day
0.90
Registered nurse staffing
LPN hours / resident day
1.93
Licensed practical nurse staffing
Aide hours / resident day
2.82
Nurse aide staffing
Weekend hours
5.57
Weekend nurse staffing
RN turnover
20%
Annual RN turnover
Total nurse turnover
43%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.9% |
91.2%
15.3 pts worse
|
93.4%
17.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.0% |
94.0%
1 pts better
|
95.5%
0.5 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.6%
0.1 pts worse
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
15.7%
15.7 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.7%
5.7 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.7% |
20.2%
13.5 pts better
|
19.6%
12.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.3% |
15.7%
2.4 pts better
|
14.9%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with a urinary tract infection | 11.8% |
1.6%
10.2 pts worse
|
1.7%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.9% |
22.2%
0.3 pts better
|
19.8%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 25.9% |
5.2%
20.7 pts worse
|
5.1%
20.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 61.2% |
74.6%
13.4 pts worse
|
81.7%
20.5 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.8% |
11.7%
0.9 pts better
|
12.0%
1.2 pts better
|
Short Stay · 20240701-20250630 |
| 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 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 71.2% |
73.6%
2.4 pts worse
|
79.7%
8.5 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.5% |
22.0%
2.5 pts worse
|
23.9%
0.6 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-08-29 · Fire 2019-08-29
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2017-11-16 · Fire 2017-11-16
10 health deficiencies
Top issue: Environmental (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2022-02-03
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-03-25
E · Potential for more than minimal harm
2022-02-03
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-03-25
E · Potential for more than minimal harm
2019-08-29
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2020-02-11
D · Potential for more than minimal harm
2019-08-29
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2020-02-11
Inspection history
Recent health citations
D · Potential for more than minimal harm
2022-02-03
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-02-16
D · Potential for more than minimal harm
2022-02-03
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2022-02-16
D · Potential for more than minimal harm
2019-08-29
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2019-08-30
F · Potential for more than minimal harm
2017-11-16
F371 · Nutrition and Dietary Deficiencies
Health
Store, cook, and serve food in a safe and clean way.
Corrected 2017-12-25
F · Potential for more than minimal harm
2017-11-16
F465 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2017-12-25
E · Potential for more than minimal harm
2017-11-16
F157 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2017-12-25
E · Potential for more than minimal harm
2017-11-16
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 2017-12-25
D · Potential for more than minimal harm
2017-11-16
F278 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment by a qualified health professional.
Corrected 2017-12-25
D · Potential for more than minimal harm
2017-11-16
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 2017-12-25
D · Potential for more than minimal harm
2017-11-16
F314 · Quality of Life and Care Deficiencies
Health
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Corrected 2017-12-25
D · Potential for more than minimal harm
2017-11-16
F323 · Environmental Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Corrected 2017-12-25
D · Potential for more than minimal harm
2017-11-16
F441 · Environmental Deficiencies
Health
Have a program that investigates, controls and keeps infection from spreading.
Corrected 2017-12-25
D · Potential for more than minimal harm
2017-11-16
F514 · Administration Deficiencies
Health
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Corrected 2017-12-25
Penalties and ownership
What sits behind the stars
Ownership
Abernethy, Julius
Corporate Director · Individual
Alcorn, Gregory
Corporate Director · Individual
Bolick, Lawrence
Corporate Director · Individual
Branch, Anthony
Corporate Director · Individual
Clapp, Kenneth
Corporate Director · Individual
Erdman, Charles
Corporate Director · Individual
Everyage
5% Or Greater Direct Ownership Interest · Organization
Everyage
Operational/Managerial Control · Organization
Everyage
5% Or Greater Security Interest · Organization
Gilliam, Jeffrey J
Corporate Director · Individual
Gray, Paul
Corporate Director · Individual
Horton, Michelle
Corporate Director · Individual
Howell, Parker
Corporate Director · Individual
Jones, Tammy
Corporate Officer · Individual
Maddox, Lamont
Corporate Director · Individual
March, Mills
Corporate Director · Individual
Reimann, Aimee
Corporate Officer · Individual
Smith, Shane
Corporate Director · Individual
Stone, Susan
Corporate Director · Individual
Street, Jody
Corporate Director · Individual
Sullivan, Diana
Corporate Director · Individual
Syria, Lee
Operational/Managerial Control · Individual
Syria, Lee
Corporate Officer · Individual
Thie, Ronald
Corporate Director · Individual
Tobin, Cory
Corporate Director · Individual
Wiley, Margaret
Corporate Director · Individual
Wood, Kathy
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Autumn Care Of Suffolk
Suffolk, VA
2-star overall rating with 3-star inspections with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Nans Pointe Rehabilitation And Nursing
Suffolk, VA
2-star overall rating with 1-star inspections with $5,293 in total fines with 29 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Windsor Grove Health and Rehabilitation
Windsor, VA
1-star overall rating with 2-star inspections with 20 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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