Cycle 1
Health 2021-05-28 · Fire 2021-05-28
20 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Portsmouth, VA
Portsmouth Health And Rehab
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
900 London Boulevard, Portsmouth, VA
(757) 393-6864
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
98
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Trio Healthcare
Operator or chain grouping
Approved since
1984-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 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
0.22
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.94
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.92
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.08
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.15
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.72
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.12
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.22
CMS adjusted RN staffing hours
Adjusted total hours
3.18
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
100%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
80%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,829
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.54
Composite VBP score used to determine payment impact.
Payment multiplier
0.9838
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.31
Performance 19.90% · Measure score 3.31 · Achievement 3.31 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
4.27
Baseline 8.47% · Performance 6.81% · Measure score 4.27 · Achievement 3.42 · Improvement 4.27
Total nurse turnover
1.85
Baseline 75.96% · Performance 63.95% · Measure score 1.85 · Achievement 0 · Improvement 1.85
Adjusted total nurse staffing
0.80
Baseline 3.22 hours · Performance 3.30 hours · Measure score 0.80 · Achievement 0.80 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.64% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 10.81% · Lower 95% interval 7.42% |
| Discharge to community | 49.5% |
50.57%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 31 · Observed rate 38.71% · Lower 95% interval 34.27% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 18 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | 6.81% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 30 · Observed rate 6.67% · Lower 95% interval 3.48% |
| Staff COVID-19 vaccination coverage | 6.98% |
8.2%
1.2 pts worse
|
Numerator 6 · Denominator 86 |
| Staff flu vaccination coverage | 67.57% |
42%
25.6 pts better
|
Numerator 25 · Denominator 37 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.2 |
1.5
1.7 pts worse
|
1.9
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 3.0 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
1.4
0.8 pts worse
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.9 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.6% |
91.2%
6.6 pts worse
|
93.4%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.5% · Q2 79.3% · Q3 80.9% · Q4 87.4% · 4Q avg 84.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.2% |
94.0%
3.8 pts worse
|
95.5%
5.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
3.6%
0.3 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 3.3% · Q3 3.4% · Q4 3.4% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
15.7%
14.5 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 3.8% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents who lose too much weight | 9.7% |
5.7%
4 pts worse
|
5.4%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 10.5% · Q3 10.1% · Q4 6.1% · 4Q avg 9.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.7% |
20.2%
0.5 pts worse
|
19.6%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 20.5% · Q3 21.0% · Q4 17.1% · 4Q avg 20.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.6% |
15.0%
1.4 pts better
|
16.7%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 17.7% · Q3 10.9% · Q4 6.9% · 4Q avg 13.6% · 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 | 32.0% |
17.5%
14.5 pts worse
|
16.3%
15.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.4% · Q2 27.6% · Q3 38.7% · Q4 9.9% · 4Q avg 32.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 34.2% |
15.7%
18.5 pts worse
|
14.9%
19.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 56.1% · Q2 27.4% · Q3 33.8% · Q4 17.8% · 4Q avg 34.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.5%
0.3 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 0.0% · 4Q avg 0.2% · 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 | 29.8% |
22.2%
7.6 pts worse
|
19.8%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.3% · Q2 28.9% · Q3 26.4% · Q4 15.7% · 4Q avg 29.8% |
| Percentage of long-stay residents with pressure ulcers | 8.5% |
5.2%
3.3 pts worse
|
5.1%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 7.5% · Q3 12.1% · Q4 7.0% · 4Q avg 8.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 32.0% |
74.6%
42.6 pts worse
|
81.7%
49.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 42.5% · Q2 35.4% · Q3 20.0% · Q4 31.3% · 4Q avg 32.0% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.2%
0.7 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 0.0% · Q3 0.0% · Q4 2.5% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 42.0% |
73.6%
31.6 pts worse
|
79.7%
37.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 42.0% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-02-07 · Fire 2019-02-07
25 health deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2017-07-13 · Fire 2017-07-13
19 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2021-05-28
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2021-06-10
E · Potential for more than minimal harm
2021-05-28
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2021-06-10
E · Potential for more than minimal harm
2019-02-07
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-04-02
D · Potential for more than minimal harm
2019-02-07
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2019-04-02
D · Potential for more than minimal harm
2019-02-07
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 2019-04-02
D · Potential for more than minimal harm
2019-02-07
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-04-02
D · Potential for more than minimal harm
2019-02-07
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-04-02
C · Minimal harm
2019-02-07
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-03-09
F · Potential for more than minimal harm
2017-07-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2017-10-02
F · Potential for more than minimal harm
2017-07-13
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2017-10-02
F · Potential for more than minimal harm
2017-07-13
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2017-10-02
F · Potential for more than minimal harm
2017-07-13
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2017-10-02
F · Potential for more than minimal harm
2017-07-13
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2017-10-02
F · Potential for more than minimal harm
2017-07-13
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 2017-10-02
E · Potential for more than minimal harm
2017-07-13
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2017-10-02
D · Potential for more than minimal harm
2017-07-13
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2017-10-02
D · Potential for more than minimal harm
2017-07-13
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 2017-10-02
D · Potential for more than minimal harm
2017-07-13
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2017-10-02
D · Potential for more than minimal harm
2017-07-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2017-10-02
D · Potential for more than minimal harm
2017-07-13
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2017-10-02
D · Potential for more than minimal harm
2017-07-13
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2017-10-02
D · Potential for more than minimal harm
2017-07-13
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2017-10-02
C · Minimal harm
2017-07-13
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2017-10-02
C · Minimal harm
2017-07-13
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2017-10-02
C · Minimal harm
2017-07-13
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2017-10-02
C · Minimal harm
2017-07-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2017-10-02
Inspection history
Recent health citations
J · Immediate jeopardy
2025-09-19
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-12-09
D · Potential for more than minimal harm
2025-09-19
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 2025-12-08
D · Potential for more than minimal harm
2025-09-19
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 2025-12-08
D · Potential for more than minimal harm
2025-09-19
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 2025-12-08
D · Potential for more than minimal harm
2025-09-19
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-12-08
D · Potential for more than minimal harm
2025-09-19
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-01-21
D · Potential for more than minimal harm
2025-09-19
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 2025-12-08
G · Actual harm
2024-10-02
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-09-19
D · Potential for more than minimal harm
2024-05-23
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 2024-06-19
D · Potential for more than minimal harm
2024-05-23
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2024-06-19
D · Potential for more than minimal harm
2024-05-23
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 2024-06-19
D · Potential for more than minimal harm
2024-05-23
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-06-19
K · Immediate jeopardy
2024-03-22
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-04-23
K · Immediate jeopardy
2024-03-22
F741 · Quality of Life and Care Deficiencies
Health
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2024-04-23
D · Potential for more than minimal harm
2024-03-22
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 2024-06-19
D · Potential for more than minimal harm
2024-03-22
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2024-06-19
D · Potential for more than minimal harm
2024-03-22
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 2024-06-19
D · Potential for more than minimal harm
2024-03-22
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-06-19
G · Actual harm
2021-05-28
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-07-05
F · Potential for more than minimal harm
2021-05-28
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 2021-07-05
F · Potential for more than minimal harm
2021-05-28
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2021-07-05
E · Potential for more than minimal harm
2021-05-28
F803 · Nutrition and Dietary Deficiencies
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 2021-07-05
E · Potential for more than minimal harm
2021-05-28
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-07-05
E · Potential for more than minimal harm
2021-05-28
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2021-07-05
D · Potential for more than minimal harm
2021-05-28
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2021-07-05
D · Potential for more than minimal harm
2021-05-28
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2021-07-05
D · Potential for more than minimal harm
2021-05-28
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 2021-07-05
D · Potential for more than minimal harm
2021-05-28
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 2021-07-05
D · Potential for more than minimal harm
2021-05-28
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 2021-07-05
D · Potential for more than minimal harm
2021-05-28
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 2021-07-05
D · Potential for more than minimal harm
2021-05-28
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 2021-07-05
G · Actual harm
2019-02-07
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 2019-03-09
E · Potential for more than minimal harm
2019-02-07
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 2019-03-09
E · Potential for more than minimal harm
2019-02-07
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 2019-03-09
E · Potential for more than minimal harm
2019-02-07
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 2019-03-09
D · Potential for more than minimal harm
2019-02-07
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 2019-03-09
D · Potential for more than minimal harm
2019-02-07
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2019-03-09
D · Potential for more than minimal harm
2019-02-07
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-03-09
D · Potential for more than minimal harm
2019-02-07
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 2019-04-17
D · Potential for more than minimal harm
2019-02-07
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 2019-03-09
D · Potential for more than minimal harm
2019-02-07
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 2019-03-09
D · Potential for more than minimal harm
2019-02-07
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2019-03-09
D · Potential for more than minimal harm
2019-02-07
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 2019-03-09
D · Potential for more than minimal harm
2019-02-07
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2019-03-09
C · Minimal harm
2019-02-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-03-09
E · Potential for more than minimal harm
2017-07-13
F156 · Resident Rights Deficiencies
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2017-08-13
E · Potential for more than minimal harm
2017-07-13
F159 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2017-08-13
E · Potential for more than minimal harm
2017-07-13
F287 · 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 2017-08-13
E · Potential for more than minimal harm
2017-07-13
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 2017-08-13
E · Potential for more than minimal harm
2017-07-13
F314 · Quality of Life and Care Deficiencies
Health
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Corrected 2017-08-13
E · Potential for more than minimal harm
2017-07-13
F441 · Environmental Deficiencies
Health
Have a program that investigates, controls and keeps infection from spreading.
Corrected 2017-08-13
E · Potential for more than minimal harm
2017-07-13
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 2017-08-13
E · Potential for more than minimal harm
2017-07-13
F514 · Administration Deficiencies
Health
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Corrected 2017-08-13
D · Potential for more than minimal harm
2017-07-13
F241 · Resident Rights Deficiencies
Health
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Corrected 2017-08-13
D · Potential for more than minimal harm
2017-07-13
F276 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2017-08-13
D · Potential for more than minimal harm
2017-07-13
F278 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment by a qualified health professional.
Corrected 2017-08-13
D · Potential for more than minimal harm
2017-07-13
F279 · Resident Assessment and Care Planning Deficiencies
Health
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2017-08-13
D · Potential for more than minimal harm
2017-07-13
F315 · Quality of Life and Care Deficiencies
Health
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Corrected 2017-08-13
D · Potential for more than minimal harm
2017-07-13
F323 · Environmental Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Corrected 2017-08-13
D · Potential for more than minimal harm
2017-07-13
F332 · Pharmacy Service Deficiencies
Health
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Corrected 2017-08-13
D · Potential for more than minimal harm
2017-07-13
F333 · Pharmacy Service Deficiencies
Health
Ensure that residents are safe from serious medication errors.
Corrected 2017-08-13
D · Potential for more than minimal harm
2017-07-13
F425 · Pharmacy Service Deficiencies
Health
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Corrected 2017-08-13
D · Potential for more than minimal harm
2017-07-13
F431 · Pharmacy Service Deficiencies
Health
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Corrected 2017-08-13
C · Minimal harm
2017-07-13
F167 · Resident Rights Deficiencies
Health
Allow residents to easily view the results of the nursing home's most recent inspection.
Corrected 2017-08-13
Penalties and ownership
What sits behind the stars
$62,320
2025-09-19
Fine
Fine · fine $62,320
Fine
$8,824
2024-10-02
Fine
Fine · fine $8,824
Fine
$85,069
2024-03-22
Fine
Fine · fine $85,069
Fine
Ownership
Gl Virginia Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Cambell, Dawn
W-2 Managing Employee · Individual
Gentry, Boyd
5% Or Greater Indirect Ownership Interest · Individual
Gentry, Boyd
Corporate Officer · Individual
Rubenstein, David
5% Or Greater Indirect Ownership Interest · Individual
Rubenstein, David
Corporate Officer · Individual
Trio Health Care - East, LLC
5% Or Greater Indirect Ownership Interest · Organization
Trio Healthcare Investors LLC
5% Or Greater Indirect Ownership Interest · Organization
Trio Healthcare LLC
5% Or Greater Indirect Ownership Interest · Organization
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#3
Autumn Care Of Portsmouth
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4-star overall rating with 3-star inspections with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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