18 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Portsmouth, VA
3-star overall rating with 2-star inspections with $8,018 in total fines with 18 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
4201 Greenwood Drive, Portsmouth, VA
(757) 673-5000
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
132
Certified beds
Average residents
124
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Saber Healthcare Group
Operator or chain grouping
Approved since
1989-09-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
126 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.45
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
1.93
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.38
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.88
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
3.44
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
13,016
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
8.98
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.55
Baseline 20.71% · Performance 20.71% · Measure score 1.55 · Achievement 1.55 · Improvement 0
Healthcare-associated infections
1.03
Baseline 6.81% · Performance 7.53% · Measure score 1.03 · Achievement 1.03 · Improvement 0
Total nurse turnover
0
Baseline 66.67% · Performance 65.71% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.01
Baseline 3.34 hours · Performance 3.37 hours · Measure score 1.01 · Achievement 1.01 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.56% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 167 · Observed rate 11.98% · Lower 95% interval 7.57% |
| Discharge to community | 69.45% |
50.57%
18.9 pts better
|
Better than the National Rate · Eligible stays 149 · Observed rate 59.73% · Lower 95% interval 58.98% |
| Medicare spending per beneficiary | 0.74 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 69.6% |
95.27%
25.7 pts worse
|
Numerator 87 · Denominator 125 |
| Falls with major injury | 0.8% |
0.77%
About the same
|
Numerator 1 · Denominator 125 |
| Discharge self-care score | 62.77% |
53.69%
9.1 pts better
|
Numerator 59 · Denominator 94 |
| Discharge mobility score | 46.81% |
50.94%
4.1 pts worse
|
Numerator 44 · Denominator 94 |
| Pressure ulcers or injuries, new or worsened | 2.4% |
2.29%
0.1 pts worse
|
Numerator 3 · Denominator 125 · Adjusted rate 2.28% |
| Healthcare-associated infections requiring hospitalization | 7.53% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 103 · Observed rate 8.74% · Lower 95% interval 3.79% |
| Staff COVID-19 vaccination coverage | 0.96% |
8.2%
7.2 pts worse
|
Numerator 1 · Denominator 104 |
| Staff flu vaccination coverage | 90.38% |
42%
48.4 pts better
|
Numerator 94 · Denominator 104 |
| Discharge function score | 59.57% |
56.45%
3.1 pts better
|
Numerator 56 · Denominator 94 |
| Transfer of health information to provider | 96.3% |
95.95%
0.3 pts better
|
Numerator 26 · Denominator 27 |
| Transfer of health information to patient | 85.33% |
96.28%
11 pts worse
|
Numerator 64 · Denominator 75 |
| Resident COVID-19 vaccinations up to date | 25% |
25.2%
0.2 pts worse
|
Numerator 15 · Denominator 60 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 80.5% |
91.2%
10.7 pts worse
|
93.4%
12.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 82.2% · Q2 82.0% · Q3 84.0% · Q4 74.5% · 4Q avg 80.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.2% |
94.0%
2.2 pts better
|
95.5%
0.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.6%
1.9 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 2.0% · Q4 2.7% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.1% |
15.7%
12.6 pts better
|
11.4%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 4.3% · Q4 5.2% · 4Q avg 3.1% |
| Percentage of long-stay residents who lose too much weight | 9.5% |
5.7%
3.8 pts worse
|
5.4%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 14.3% · Q3 6.4% · Q4 9.6% · 4Q avg 9.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.9% |
20.2%
5.3 pts better
|
19.6%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 16.5% · Q3 17.0% · Q4 14.2% · 4Q avg 14.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.3% |
15.0%
7.7 pts better
|
16.7%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 5.0% · Q3 6.5% · Q4 9.6% · 4Q avg 7.3% · 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 | 21.7% |
17.5%
4.2 pts worse
|
16.3%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 54.7% · Q2 25.6% · Q3 3.4% · Q4 2.7% · 4Q avg 21.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.0% |
15.7%
3.7 pts better
|
14.9%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 10.3% · Q3 1.4% · Q4 6.8% · 4Q avg 12.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
0.5%
2.1 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 1.8% · Q3 0.8% · Q4 2.0% · 4Q avg 2.6% · 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 | 20.1% |
22.2%
2.1 pts better
|
19.8%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 18.7% · Q3 17.3% · Q4 18.7% · 4Q avg 20.1% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
5.2%
0.8 pts better
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 3.5% · Q3 4.7% · Q4 3.9% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 39.8% |
74.6%
34.8 pts worse
|
81.7%
41.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 42.2% · Q2 48.1% · Q3 41.5% · Q4 26.8% · 4Q avg 39.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.3% |
11.7%
2.4 pts better
|
12.0%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 10.1% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.2%
0.6 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 56.9% |
73.6%
16.7 pts worse
|
79.7%
22.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 56.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.7% |
22.0%
4.3 pts better
|
23.9%
6.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.7% · Observed 19.2% · Expected 25.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Rights (8 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-01-17
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-03-03
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-03-03
Fire Safety
Meet other general requirements.
Corrected 2019-07-31
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-07-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-31
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-07-31
Inspection history
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-01-17
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-01-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-17
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 2025-01-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-17
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-17
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-01-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-17
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2025-01-17
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-01-17
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-01-17
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-01-17
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 2025-01-17
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 2025-01-17
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 2025-01-17
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-17
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-01-17
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2025-01-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-08
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 2021-04-30
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2021-04-30
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-04-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-04-30
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2021-04-30
Health
Provide or obtain dental services for each resident.
Corrected 2021-04-30
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-06-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-06-10
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 2019-06-10
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 2019-06-10
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 2019-06-10
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2019-06-10
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 2019-06-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-06-10
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-06-10
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-06-10
Health
Provide and implement an infection prevention and control program.
Corrected 2019-06-10
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2019-06-10
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2019-06-10
Health
Keep residents' personal and medical records private and confidential.
Corrected 2019-06-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-06-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-07-02
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 2019-06-10
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 2019-06-10
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 2019-06-10
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2019-06-10
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-06-10
Penalties and ownership
Fine · fine $8,018
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Portsmouth, VA
4-star overall rating with 3-star inspections with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Chesapeake, VA
1-star overall rating with 2-star inspections with 23 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Portsmouth, VA
1-star overall rating with 1-star inspections with $156,213 in total fines with 20 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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