Federal inspection record · CMS data as of October 1, 2026
Nassawadox Rehabilitation And Nursing
9468 Hospital Road, Nassawadox, VA · (757) 442-5600
- Cited for abuse (CMS abuse icon)
- Certified beds
- 145
- Residents per day
- 111
- Ownership
- For-Profit
- Chain
- Eastern Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1993
1
How this home got 1 star
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Virginia homes
Nassawadox Rehabilitation And Nursing carries 174 inspection points. That is fewer than 19% 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
66 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.
Harm and immediate-jeopardy citations (5)
-
H
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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H
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide or obtain dental services for each resident.
Everything else, by area of care
Resident Rights16E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
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.
- E
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
- 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
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Assure the security of all personal funds of residents deposited with the facility.
- 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.
- 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
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
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
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.
Quality of Life and Care12E
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate foot care.
- D
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.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- 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.
Resident Assessment and Care Planning10E
- 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
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service8E
- 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.
- D
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 medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- E
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation4E
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Administration3E
- E
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.
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- D
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.
Infection Control3E
- E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services2D
- D
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
Post nurse staffing information every day.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Dispose of garbage and refuse properly.
Environmental1D
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2026-06-12
20 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2022-05-20
29 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2019-08-08
17 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 37 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 37 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 38% of nursing staff and 53% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
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 days0.3 pts better | 1.1 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 2.3 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better | 93.5% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.5 pts better | 95.8% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse | 4.9% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.4 pts better | 13.1% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.7 pts worse | 10.0% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts better | 16.4% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.2 pts worse | 16.4% | 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 worsened2 pts worse | 16.2% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts worse | 15.4% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.4% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 1.1% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.2 pts worse | 23.5% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts worse | 6.4% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.8 pts better | 79.0% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit12.3 pts worse | 23.8% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse | 1.7% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.5 pts better | 82.8% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.7 pts better | 17.3% | 22.0% | 23.4% |
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Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Va SNF Operations Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 facilities |
| Jj United Tr | 5% Or Greater Indirect Ownership Interest · Organization | 50% | 15 facilities |
| Shapiro, Akiva | Corporate Officer · Individual | 0% | 18 facilities |
| Taylor, Tenille | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Meet other general requirements.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Have an alternate power supply for its alarm system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems4D
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- D
Ensure that testing and maintenance of electrical equipment is performed.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous1E
- E
Have simulated fire drills held at unexpected times.
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Other homes nearby
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Shore Health & Rehab Center
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
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- Fines
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-
Riverside Lifelong Health And Rehabilitation - M
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-
Rappahannock Westminster Canterbury
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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