Cycle 1
Health 2023-01-26 · Fire 2023-01-26
24 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Virginia Beach, VA
Maimonides Health Center Of Virginia Beach
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
6401 Auburn Dr, Virginia Beach, VA
(757) 420-2512
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
112
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-01-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.45
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.25
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
2.12
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.82
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.70
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.19
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.30
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
0.43
CMS adjusted RN staffing hours
Adjusted total hours
3.66
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
64%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,679
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.01
Composite VBP score used to determine payment impact.
Payment multiplier
0.9840
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.69
Baseline 20.88% · Performance 20.18% · Measure score 2.69 · Achievement 2.69 · Improvement 1.31
Healthcare-associated infections
6.68
Baseline 4.94% · Performance 5.84% · Measure score 6.68 · Achievement 6.68 · Improvement 0
Total nurse turnover
0
Baseline 38.41% · Performance 65.25% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.04
Baseline 4.93 hours · Performance 3.37 hours · Measure score 1.04 · Achievement 1.04 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.83% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 593 · Observed rate 12.14% · Lower 95% interval 9.59% |
| Discharge to community | 63.64% |
50.57%
13.1 pts better
|
Better than the National Rate · Eligible stays 590 · Observed rate 56.95% · Lower 95% interval 57.97% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.01% |
95.27%
3.7 pts better
|
Numerator 402 · Denominator 406 |
| Falls with major injury | 0.25% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 406 |
| Discharge self-care score | 53.82% |
53.69%
0.1 pts better
|
Numerator 155 · Denominator 288 |
| Discharge mobility score | 69.79% |
50.94%
18.9 pts better
|
Numerator 201 · Denominator 288 |
| Pressure ulcers or injuries, new or worsened | 1.97% |
2.29%
0.3 pts better
|
Numerator 8 · Denominator 406 · Adjusted rate 1.56% |
| Healthcare-associated infections requiring hospitalization | 5.84% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 400 · Observed rate 5.25% · Lower 95% interval 4.14% |
| Staff COVID-19 vaccination coverage | 4.63% |
8.2%
3.6 pts worse
|
Numerator 10 · Denominator 216 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 69.44% |
56.45%
13 pts better
|
Numerator 200 · Denominator 288 |
| Transfer of health information to provider | 89.72% |
95.95%
6.2 pts worse
|
Numerator 96 · Denominator 107 |
| Transfer of health information to patient | 84.82% |
96.28%
11.5 pts worse
|
Numerator 218 · Denominator 257 |
| Resident COVID-19 vaccinations up to date | 1.61% |
25.2%
23.6 pts worse
|
Numerator 3 · Denominator 186 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.5
0.2 pts worse
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.7 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.4
0.1 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 48.3% |
91.2%
42.9 pts worse
|
93.4%
45.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.7% · Q2 21.4% · Q3 56.7% · Q4 88.1% · 4Q avg 48.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.6% |
94.0%
4.4 pts worse
|
95.5%
5.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.1% |
3.6%
3.5 pts worse
|
3.3%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 8.6% · Q3 7.5% · Q4 3.0% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.3% |
15.7%
7.4 pts better
|
11.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 6.0% · Q3 13.6% · Q4 12.7% · 4Q avg 8.3% |
| Percentage of long-stay residents who lose too much weight | 10.2% |
5.7%
4.5 pts worse
|
5.4%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 12.1% · Q3 11.7% · Q4 8.5% · 4Q avg 10.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.9% |
20.2%
4.3 pts better
|
19.6%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 13.4% · Q3 15.9% · Q4 18.0% · 4Q avg 15.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.0% |
15.0%
2 pts better
|
16.7%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 14.8% · Q3 9.8% · Q4 11.1% · 4Q avg 13.0% · 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 | 31.4% |
17.5%
13.9 pts worse
|
16.3%
15.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 51.7% · Q2 33.5% · Q3 20.2% · Q4 22.4% · 4Q avg 31.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.6% |
15.7%
8.9 pts worse
|
14.9%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.6% · Q2 25.8% · Q3 15.3% · Q4 13.6% · 4Q avg 24.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.5%
0.1 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · 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 1.6% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.8% |
22.2%
9.6 pts worse
|
19.8%
12 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.2% · Q2 35.9% · Q3 36.9% · Q4 24.0% · 4Q avg 31.8% |
| Percentage of long-stay residents with pressure ulcers | 6.4% |
5.2%
1.2 pts worse
|
5.1%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.0% · Q3 7.3% · Q4 6.3% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 35.0% |
74.6%
39.6 pts worse
|
81.7%
46.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 12.2% · Q3 38.9% · Q4 68.2% · 4Q avg 35.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.4% |
11.7%
1.7 pts worse
|
12.0%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 12.9% · Expected 10.7% · 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 0.5% · Q2 0.5% · Q3 1.3% · Q4 1.6% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 42.7% |
73.6%
30.9 pts worse
|
79.7%
37 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 42.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.0% |
22.0%
6 pts worse
|
23.9%
4.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.0% · Observed 28.0% · Expected 23.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-10-10 · Fire 2019-10-10
17 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
12 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Cycle 3
Health 2018-04-20 · Fire 2018-04-20
7 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-01-26
K361 · Smoke Deficiencies
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2023-03-25
D · Potential for more than minimal harm
2023-01-26
K900 · Miscellaneous Deficiencies
Fire Safety
Meet Health Care Facilities Code mechanical requirements.
Corrected 2023-03-25
D · Potential for more than minimal harm
2023-01-26
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-25
E · Potential for more than minimal harm
2019-10-10
K222 · Egress Deficiencies
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 2020-05-06
E · Potential for more than minimal harm
2019-10-10
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-05-06
E · Potential for more than minimal harm
2019-10-10
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2020-05-06
E · Potential for more than minimal harm
2019-10-10
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 2020-05-06
E · Potential for more than minimal harm
2019-10-10
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2020-05-06
D · Potential for more than minimal harm
2019-10-10
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-05-06
D · Potential for more than minimal harm
2019-10-10
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-05-06
D · Potential for more than minimal harm
2019-10-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-05-06
D · Potential for more than minimal harm
2019-10-10
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-05-06
D · Potential for more than minimal harm
2019-10-10
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-05-06
C · Minimal harm
2019-10-10
E25 · Emergency Preparedness Deficiencies
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2019-11-08
C · Minimal harm
2019-10-10
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-11-08
C · Minimal harm
2018-04-20
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2018-05-31
C · Minimal harm
2018-04-20
E18 · Emergency Preparedness Deficiencies
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2018-05-31
C · Minimal harm
2018-04-20
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2018-05-31
C · Minimal harm
2018-04-20
E25 · Emergency Preparedness Deficiencies
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2018-05-31
C · Minimal harm
2018-04-20
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2018-05-31
C · Minimal harm
2018-04-20
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2018-05-31
C · Minimal harm
2018-04-20
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2018-05-31
C · Minimal harm
2018-04-20
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2018-05-31
Inspection history
Recent health citations
G · Actual harm
2025-11-17
F580 · 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 2025-09-29
G · Actual harm
2025-11-17
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-11-17
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 2026-01-30
D · Potential for more than minimal harm
2025-11-17
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 2026-01-30
D · Potential for more than minimal harm
2025-11-17
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-01-30
E · Potential for more than minimal harm
2025-04-10
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-09
E · Potential for more than minimal harm
2025-04-10
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-10
F580 · 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 2025-05-09
D · Potential for more than minimal harm
2025-04-10
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-10
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-10
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-10
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 2025-05-09
D · Potential for more than minimal harm
2025-04-10
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 2025-05-09
D · Potential for more than minimal harm
2025-04-10
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-10
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-10
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-09
D · Potential for more than minimal harm
2024-07-11
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-07-30
D · Potential for more than minimal harm
2024-07-11
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-07-30
E · Potential for more than minimal harm
2023-01-26
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-02-17
E · Potential for more than minimal harm
2023-01-26
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 2023-02-17
D · Potential for more than minimal harm
2023-01-26
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-02-17
D · Potential for more than minimal harm
2023-01-26
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-02-17
D · Potential for more than minimal harm
2023-01-26
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 2023-02-17
D · Potential for more than minimal harm
2023-01-26
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 2023-02-17
D · Potential for more than minimal harm
2023-01-26
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-02-17
E · Potential for more than minimal harm
2019-10-10
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 2019-11-08
E · Potential for more than minimal harm
2019-10-10
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-11-08
E · Potential for more than minimal harm
2019-10-10
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-11-08
E · Potential for more than minimal harm
2019-10-10
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2019-11-08
E · Potential for more than minimal harm
2019-10-10
F948 · Nursing and Physician Services Deficiencies
Health
Ensure that paid feeding assistants have the training they need.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-10-10
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-10-10
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-10-10
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-10-10
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 2019-11-08
D · Potential for more than minimal harm
2019-10-10
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-10-10
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-10-10
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 2019-11-08
D · Potential for more than minimal harm
2019-10-10
F810 · Nutrition and Dietary Deficiencies
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-10-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-10-10
F921 · 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 2019-11-08
F · Potential for more than minimal harm
2018-04-20
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-05-31
E · Potential for more than minimal harm
2018-04-20
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2018-05-31
E · Potential for more than minimal harm
2018-04-20
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 2018-05-31
E · Potential for more than minimal harm
2018-04-20
F921 · 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 2018-05-31
D · Potential for more than minimal harm
2018-04-20
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 2018-05-31
D · Potential for more than minimal harm
2018-04-20
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2018-05-31
B · Minimal harm
2018-04-20
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-05-31
Penalties and ownership
What sits behind the stars
$12,735
2025-11-17
Fine
Fine · fine $12,735
Fine
$21,645
2025-11-17
Fine
Fine · fine $21,645
Fine
$1,764
2023-11-20
Fine
Fine · fine $1,764
Fine
$3,174
2023-10-30
Fine
Fine · fine $3,174
Fine
Ownership
Beth Abraham Village Opco Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
10-26 Nationwide Tr
5% Or Greater Indirect Ownership Interest · Organization
1026 Enterprises Ii, LLC
5% Or Greater Indirect Ownership Interest · Organization
Ads Capital Trust
5% Or Greater Indirect Ownership Interest · Organization
Fields, Joseph
Operational/Managerial Control · Individual
Gsgh Vb Healthcare LLC
5% Or Greater Indirect Ownership Interest · Organization
Mbm 2016 Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Pc8 Capital Group LLC
5% Or Greater Indirect Ownership Interest · Organization
Sj Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Sj Healthcare Capital LLC
5% Or Greater Indirect Ownership Interest · Organization
Stern, Aharon
Operational/Managerial Control · Individual
Stern, Aharon
Corporate Officer · Individual
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Autumn Care Of Norfolk
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