25 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Newport News, VA
1-star overall rating with 1-star inspections with 25 recent health deficiencies
12997 Nettles Drive, Newport News, VA
(757) 249-8880
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
102
Certified beds
Average residents
97
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care
Operator or chain grouping
Approved since
1999-09-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
36 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 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
0.42
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.75
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.16
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.53
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.17
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.49
CMS adjusted RN staffing hours
Adjusted total hours
3.69
CMS adjusted total nurse staffing hours
Case-mix index
1.17
Higher values indicate more complex resident acuity
RN turnover
73%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
68%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
3,205
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.51
Composite VBP score used to determine payment impact.
Payment multiplier
0.9987
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.55
Baseline 22.42% · Performance 18.08% · Measure score 7.55 · Achievement 7.24 · Improvement 7.55
Healthcare-associated infections
6.44
Baseline 5.58% · Performance 5.91% · Measure score 6.44 · Achievement 6.44 · Improvement 0
Total nurse turnover
1.53
Baseline 57.89% · Performance 57.43% · Measure score 1.53 · Achievement 1.53 · Improvement 0
Adjusted total nurse staffing
2.68
Baseline 3.04 hours · Performance 3.84 hours · Measure score 2.68 · Achievement 2.68 · Improvement 2.42
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.13% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 153 · Observed rate 13.73% · Lower 95% interval 8.92% |
| Discharge to community | 60.23% |
50.57%
9.7 pts better
|
Better than the National Rate · Eligible stays 136 · Observed rate 55.15% · Lower 95% interval 50.59% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.75% |
95.27%
3.5 pts better
|
Numerator 79 · Denominator 80 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 80 |
| Discharge self-care score | 59.26% |
53.69%
5.6 pts better
|
Numerator 32 · Denominator 54 |
| Discharge mobility score | 51.85% |
50.94%
0.9 pts better
|
Numerator 28 · Denominator 54 |
| Pressure ulcers or injuries, new or worsened | 8.75% |
2.29%
6.5 pts worse
|
Numerator 7 · Denominator 80 · Adjusted rate 8.86% |
| Healthcare-associated infections requiring hospitalization | 5.91% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 87 · Observed rate 3.45% · Lower 95% interval 3.17% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 118 |
| Staff flu vaccination coverage | 8.53% |
42%
33.5 pts worse
|
Numerator 11 · Denominator 129 |
| Discharge function score | 55.56% |
56.45%
0.9 pts worse
|
Numerator 30 · Denominator 54 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 57 · Denominator 57 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 35.14% |
25.2%
9.9 pts better
|
Numerator 13 · Denominator 37 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 64.4% |
91.2%
26.8 pts worse
|
93.4%
29 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 72.7% · Q2 72.8% · Q3 63.5% · Q4 48.1% · 4Q avg 64.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 75.9% |
94.0%
18.1 pts worse
|
95.5%
19.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 75.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
3.6%
3 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 1.3% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
15.7%
14.3 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 5.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who lose too much weight | 2.8% |
5.7%
2.9 pts better
|
5.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 5.8% · Q4 4.3% · 4Q avg 2.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.9% |
20.2%
1.7 pts worse
|
19.6%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 23.6% · Q3 23.2% · Q4 17.1% · 4Q avg 21.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.3% |
15.0%
6.3 pts worse
|
16.7%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 23.6% · Q3 21.4% · Q4 21.1% · 4Q avg 21.3% · 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 | 16.9% |
17.5%
0.6 pts better
|
16.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 30.9% · Q3 8.3% · Q4 15.4% · 4Q avg 16.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.5% |
15.7%
3.8 pts worse
|
14.9%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 23.5% · Q3 17.2% · Q4 13.6% · 4Q avg 19.5% · 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 1.5% · Q3 1.7% · Q4 1.7% · 4Q avg 1.2% · 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 | 27.4% |
22.2%
5.2 pts worse
|
19.8%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 24.0% · Q3 22.7% · Q4 32.9% · 4Q avg 27.4% |
| Percentage of long-stay residents with pressure ulcers | 9.1% |
5.2%
3.9 pts worse
|
5.1%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 12.3% · Q3 8.3% · Q4 6.5% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 27.8% |
74.6%
46.8 pts worse
|
81.7%
53.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 40.1% · Q2 35.0% · Q3 20.8% · Q4 16.0% · 4Q avg 27.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.4% |
11.7%
1.3 pts better
|
12.0%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.4% · Observed 10.3% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% |
1.2%
1.4 pts worse
|
1.6%
1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.6% · Q3 3.1% · Q4 4.8% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 30.7% |
73.6%
42.9 pts worse
|
79.7%
49 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 30.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.8% |
22.0%
0.8 pts worse
|
23.9%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 20.7% · Expected 21.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Rights (4 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-03-26
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-03-26
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-03-26
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-04-24
Inspection history
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-12-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-13
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-12-13
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-10-16
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-10-16
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2022-10-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-10-16
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2022-10-16
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 2022-10-16
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 2022-10-16
Health
Keep all essential equipment working safely.
Corrected 2022-10-16
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-10-16
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-10-16
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-10-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-10-16
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 2022-10-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-10-16
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-10-16
Health
Post nurse staffing information every day.
Corrected 2022-10-16
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-10-16
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-10-16
Health
Implement a program that monitors antibiotic use.
Corrected 2022-10-16
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2022-10-16
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-10-16
Health
Report COVID19 data to residents and families.
Corrected 2022-10-16
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2022-10-16
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2022-10-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-03-12
Health
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.
Corrected 2020-03-12
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2020-03-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-03-12
Health
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.
Corrected 2020-03-12
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2020-03-12
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2020-03-12
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2020-03-12
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 2020-03-12
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-03-12
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 2020-03-12
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2020-03-12
Health
Dispose of garbage and refuse properly.
Corrected 2020-03-12
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2020-03-12
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-12
Health
Post nurse staffing information every day.
Corrected 2020-03-12
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 2019-03-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-03-01
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2019-03-01
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 2019-03-01
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 2019-03-01
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2019-03-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-03-01
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2019-03-01
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2019-03-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-03-01
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-03-01
Health
Provide and implement an infection prevention and control program.
Corrected 2019-03-01
Penalties and ownership
Nearby options
Newport News, VA
1-star overall rating with 1-star inspections with 33 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Newport News, VA
1-star overall rating with 2-star inspections with 31 recent health deficiencies with 25 fire-safety deficiencies in the latest cycle
Newport News, VA
5-star overall rating with 4-star inspections with 5 recent health deficiencies
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