Cycle 1
Health 2022-03-03 · Fire 2022-03-03
31 health deficiencies
Top issue: Resident Rights (9 deficiencies)
25 fire-safety deficiencies
Top issue: Emergency Preparedness (20 deficiencies)
Newport News, VA
Old Dominion Rehabilitation And Nursing
1-star overall rating with 2-star inspections with 31 recent health deficiencies with 25 fire-safety deficiencies in the latest cycle
4 Ridgewood Parkway, Newport News, VA
(757) 886-6500
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
115
Certified beds
Average residents
108
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Eastern Healthcare Group
Operator or chain grouping
Approved since
1989-11-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 1 overall / 2 health / 1 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
Hours and turnover
RN hours / resident day
0.42
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.91
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.73
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.06
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.33
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.65
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.42
CMS adjusted RN staffing hours
Adjusted total hours
3.06
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,596
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.61
Composite VBP score used to determine payment impact.
Payment multiplier
0.9892
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.80
Baseline 23.14% · Performance 19.90% · Measure score 4.80 · Achievement 3.30 · Improvement 4.80
Healthcare-associated infections
6.30
Baseline 7.79% · Performance 5.95% · Measure score 6.30 · Achievement 6.30 · Improvement 6.08
Total nurse turnover
3.14
Baseline 70.89% · Performance 54.12% · Measure score 3.14 · Achievement 2.34 · Improvement 3.14
Adjusted total nurse staffing
0
Baseline 2.64 hours · Performance 2.76 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.81% |
10.72%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 132 · Observed rate 16.67% · Lower 95% interval 9.2% |
| Discharge to community | 39% |
50.57%
11.6 pts worse
|
Worse than the National Rate · Eligible stays 119 · Observed rate 30.25% · Lower 95% interval 30.53% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 83.93% |
95.27%
11.3 pts worse
|
Numerator 47 · Denominator 56 |
| Falls with major injury | 1.79% |
0.77%
1 pts worse
|
Numerator 1 · Denominator 56 |
| Discharge self-care score | 34.29% |
53.69%
19.4 pts worse
|
Numerator 12 · Denominator 35 |
| Discharge mobility score | 37.14% |
50.94%
13.8 pts worse
|
Numerator 13 · Denominator 35 |
| Pressure ulcers or injuries, new or worsened | 5.36% |
2.29%
3.1 pts worse
|
Numerator 3 · Denominator 56 · Adjusted rate 3.86% |
| Healthcare-associated infections requiring hospitalization | 5.95% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 52 · Observed rate 1.92% · Lower 95% interval 2.77% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 73 |
| Staff flu vaccination coverage | 26.05% |
42%
15.9 pts worse
|
Numerator 31 · Denominator 119 |
| Discharge function score | 42.86% |
56.45%
13.6 pts worse
|
Numerator 15 · Denominator 35 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 77.27% |
96.28%
19 pts worse
|
Numerator 17 · Denominator 22 |
| Resident COVID-19 vaccinations up to date | 26.67% |
25.2%
1.5 pts better
|
Numerator 8 · Denominator 30 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
1.5
1.2 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.4 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.4
0.2 pts worse
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.9% |
91.2%
0.7 pts better
|
93.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 94.3% · Q3 91.3% · Q4 87.0% · 4Q avg 91.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.8% |
94.0%
1.2 pts worse
|
95.5%
2.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.6% |
3.6%
1 pts worse
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 4.5% · Q3 4.3% · Q4 3.0% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 35.1% |
15.7%
19.4 pts worse
|
11.4%
23.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 36.1% · Q3 36.0% · Q4 36.8% · 4Q avg 35.1% |
| Percentage of long-stay residents who lose too much weight | 2.6% |
5.7%
3.1 pts better
|
5.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 1.2% · Q3 2.3% · Q4 2.1% · 4Q avg 2.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.3% |
20.2%
3.9 pts better
|
19.6%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 18.1% · Q3 15.1% · Q4 16.0% · 4Q avg 16.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.9% |
15.0%
10.1 pts better
|
16.7%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 6.7% · Q3 5.9% · Q4 5.6% · 4Q avg 4.9% · 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 | 5.4% |
17.5%
12.1 pts better
|
16.3%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.6% · Q4 15.4% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.1% |
15.7%
8.6 pts better
|
14.9%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 4.0% · Q3 4.9% · Q4 9.2% · 4Q avg 7.1% · Used in QM five-star |
| 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 · 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 a urinary tract infection | 1.4% |
1.6%
0.2 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.2% · Q3 1.1% · Q4 1.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.9% |
22.2%
1.7 pts worse
|
19.8%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 20.8% · Q3 24.4% · Q4 23.7% · 4Q avg 23.9% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
5.2%
0.3 pts worse
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 6.8% · Q3 4.2% · Q4 3.8% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 61.5% |
74.6%
13.1 pts worse
|
81.7%
20.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 48.6% · Q2 63.0% · Q3 74.8% · Q4 57.8% · 4Q avg 61.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.2% |
11.7%
3.5 pts better
|
12.0%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 9.1% · Expected 12.4% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 63.7% |
73.6%
9.9 pts worse
|
79.7%
16 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 63.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.5% |
22.0%
2.5 pts better
|
23.9%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.5% · Observed 20.0% · Expected 24.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-03-01 · Fire 2019-03-01
15 health deficiencies
Top issue: Resident Rights (5 deficiencies)
15 fire-safety deficiencies
Top issue: Emergency Preparedness (13 deficiencies)
Cycle 3
Health 2017-09-28 · Fire 2017-09-28
11 health deficiencies
Top issue: Environmental (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-03-03
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2022-08-04
D · Potential for more than minimal harm
2022-03-03
K700 · Miscellaneous Deficiencies
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2022-08-04
D · Potential for more than minimal harm
2022-03-03
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-08-04
D · Potential for more than minimal harm
2022-03-03
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-08-04
D · Potential for more than minimal harm
2022-03-03
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-08-04
C · Minimal harm
2022-03-03
E13 · Emergency Preparedness Deficiencies
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E18 · Emergency Preparedness Deficiencies
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E22 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E23 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E25 · Emergency Preparedness Deficiencies
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E32 · Emergency Preparedness Deficiencies
Fire Safety
Provide primary/alternate means for communication.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E33 · Emergency Preparedness Deficiencies
Fire Safety
Establish methods for sharing information.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E34 · Emergency Preparedness Deficiencies
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E35 · Emergency Preparedness Deficiencies
Fire Safety
Provide family notifications of emergency plan.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2022-04-16
E · Potential for more than minimal harm
2019-03-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-05-24
E · Potential for more than minimal harm
2019-03-01
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-05-24
C · Minimal harm
2019-03-01
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2019-04-12
C · Minimal harm
2019-03-01
E18 · Emergency Preparedness Deficiencies
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2019-04-12
C · Minimal harm
2019-03-01
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2019-04-12
C · Minimal harm
2019-03-01
E22 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2019-04-12
C · Minimal harm
2019-03-01
E23 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2019-04-12
C · Minimal harm
2019-03-01
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2019-04-12
C · Minimal harm
2019-03-01
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2019-04-12
C · Minimal harm
2019-03-01
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2019-04-12
C · Minimal harm
2019-03-01
E33 · Emergency Preparedness Deficiencies
Fire Safety
Establish methods for sharing information.
Corrected 2019-04-12
C · Minimal harm
2019-03-01
E35 · Emergency Preparedness Deficiencies
Fire Safety
Provide family notifications of emergency plan.
Corrected 2019-04-12
C · Minimal harm
2019-03-01
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2019-04-12
C · Minimal harm
2019-03-01
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2019-04-12
C · Minimal harm
2019-03-01
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2019-04-12
Inspection history
Recent health citations
E · Potential for more than minimal harm
2022-03-03
F584 · Resident Rights Deficiencies
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 2022-04-16
E · Potential for more than minimal harm
2022-03-03
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-04-16
E · Potential for more than minimal harm
2022-03-03
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-04-16
E · Potential for more than minimal harm
2022-03-03
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 2022-04-16
E · Potential for more than minimal harm
2022-03-03
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 2022-04-16
E · Potential for more than minimal harm
2022-03-03
F775 · Administration Deficiencies
Health
Keep complete, dated laboratory records in the resident's record.
Corrected 2022-04-16
E · Potential for more than minimal harm
2022-03-03
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 2022-04-16
E · Potential for more than minimal harm
2022-03-03
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2022-04-16
E · Potential for more than minimal harm
2022-03-03
F886 · Infection Control Deficiencies
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-04-16
D · Potential for more than minimal harm
2022-03-03
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 2022-04-16
D · Potential for more than minimal harm
2022-03-03
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 2022-04-16
D · Potential for more than minimal harm
2022-03-03
F567 · Resident Rights Deficiencies
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2022-04-16
D · Potential for more than minimal harm
2022-03-03
F568 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2022-04-16
D · Potential for more than minimal harm
2022-03-03
F578 · Resident Rights Deficiencies
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 2022-04-16
D · Potential for more than minimal harm
2022-03-03
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 2022-04-16
D · Potential for more than minimal harm
2022-03-03
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 2022-04-16
D · Potential for more than minimal harm
2022-03-03
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 2022-04-16
D · Potential for more than minimal harm
2022-03-03
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-04-16
D · Potential for more than minimal harm
2022-03-03
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 2022-04-16
D · Potential for more than minimal harm
2022-03-03
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 2022-04-16
D · Potential for more than minimal harm
2022-03-03
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 2022-04-16
D · Potential for more than minimal harm
2022-03-03
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 2022-04-16
D · Potential for more than minimal harm
2022-03-03
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 2022-04-16
D · Potential for more than minimal harm
2022-03-03
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-04-16
D · Potential for more than minimal harm
2022-03-03
F727 · Nursing and Physician Services Deficiencies
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 2022-04-16
D · Potential for more than minimal harm
2022-03-03
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 2022-04-16
D · Potential for more than minimal harm
2022-03-03
F810 · Nutrition and Dietary Deficiencies
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2022-04-16
D · Potential for more than minimal harm
2022-03-03
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2022-04-16
D · Potential for more than minimal harm
2022-03-03
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2022-04-16
D · Potential for more than minimal harm
2022-03-03
F887 · Infection Control Deficiencies
Health
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.
Corrected 2022-04-16
C · Minimal harm
2022-03-03
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2022-04-16
E · Potential for more than minimal harm
2019-03-01
F584 · Resident Rights Deficiencies
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 2019-04-12
E · Potential for more than minimal harm
2019-03-01
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 2019-04-12
E · Potential for more than minimal harm
2019-03-01
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2019-04-12
E · Potential for more than minimal harm
2019-03-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-04-12
D · Potential for more than minimal harm
2019-03-01
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2019-04-12
D · Potential for more than minimal harm
2019-03-01
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 2019-04-12
D · Potential for more than minimal harm
2019-03-01
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 2019-04-12
D · Potential for more than minimal harm
2019-03-01
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-04-12
D · Potential for more than minimal harm
2019-03-01
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-04-12
D · Potential for more than minimal harm
2019-03-01
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2019-04-12
D · Potential for more than minimal harm
2019-03-01
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 2019-04-12
D · Potential for more than minimal harm
2019-03-01
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-04-12
D · Potential for more than minimal harm
2019-03-01
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2019-04-12
C · Minimal harm
2019-03-01
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 2019-04-12
C · Minimal harm
2019-03-01
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2019-04-12
F · Potential for more than minimal harm
2017-09-28
F371 · Nutrition and Dietary Deficiencies
Health
Store, cook, and serve food in a safe and clean way.
Corrected 2017-10-28
F · Potential for more than minimal harm
2017-09-28
F372 · Environmental Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2017-10-28
E · Potential for more than minimal harm
2017-09-28
F176 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined safe.
Corrected 2017-10-28
E · Potential for more than minimal harm
2017-09-28
F252 · Environmental Deficiencies
Health
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
Corrected 2017-10-28
E · Potential for more than minimal harm
2017-09-28
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 2017-10-28
D · Potential for more than minimal harm
2017-09-28
F253 · Environmental Deficiencies
Health
Provide housekeeping and maintenance services.
Corrected 2017-10-28
D · Potential for more than minimal harm
2017-09-28
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 2017-10-28
D · Potential for more than minimal harm
2017-09-28
F323 · Environmental Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Corrected 2017-10-28
D · Potential for more than minimal harm
2017-09-28
F431 · Pharmacy Service Deficiencies
Health
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Corrected 2017-10-28
D · Potential for more than minimal harm
2017-09-28
F441 · Environmental Deficiencies
Health
Have a program that investigates, controls and keeps infection from spreading.
Corrected 2017-10-28
D · Potential for more than minimal harm
2017-09-28
F514 · Administration Deficiencies
Health
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Corrected 2017-10-28
Penalties and ownership
What sits behind the stars
Ownership
Deutsche Bank New York Branch
5% Or Greater Security Interest · Organization
Gittleson, Layla
5% Or Greater Direct Ownership Interest · Individual
Gittleson, Yehuda
Operational/Managerial Control · Individual
Hajimomenian, Amir
Corporate Director · Individual
Hc Family Trust
Operational/Managerial Control · Organization
Jj United Tr
5% Or Greater Indirect Ownership Interest · Organization
Northwind Healthcare Debt Fund Ii Master Reit LP
5% Or Greater Security Interest · Organization
Shapiro, Akiva
Corporate Officer · Individual
Sommer, Nechama
Operational/Managerial Control · Individual
Sommer, Nechama
Corporate Officer · Individual
Va SNF Master Consulting LLC
Operational/Managerial Control · Organization
Va SNF Operations Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Wombold, Michelle
Operational/Managerial Control · Individual
Ydi Eastern Holdco LLC
5% Or Greater Indirect Ownership Interest · Organization
Ydi Irrevocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Zanziper Family Trust
Operational/Managerial Control · Organization
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1-star overall rating with 1-star inspections with 33 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Newport News Nursing & Rehab
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1-star overall rating with 1-star inspections with 25 recent health deficiencies
#3
Regency Health And Rehabilitation Center
Yorktown, VA
2-star overall rating with 3-star inspections with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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