Duffield, VA

Ridgecrest Manor Nursing & Rehabilitation

4-star overall rating with 4-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

157 Ross Carter Boulevard, Duffield, VA

(276) 431-2841

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

106

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Saber Healthcare Group

Operator or chain grouping

Approved since

1982-11-24

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

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

0.53

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

1.18

Licensed practical nurse staffing · state 1.00 · national 0.87

Aide hours / resident day

1.83

Nurse aide staffing · state 2.12 · national 2.35

Total nurse hours

3.54

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.71

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

3.05

Weekend nurse staffing · state 3.31 · national 3.43

Weekend RN hours

0.28

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.47

CMS adjusted RN staffing hours

Adjusted total hours

3.11

CMS adjusted total nurse staffing hours

Case-mix index

1.56

Higher values indicate more complex resident acuity

RN turnover

36%

Annual RN turnover · state 49% · national 45%

Total nurse turnover

38%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,846

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

31.54

Composite VBP score used to determine payment impact.

Payment multiplier

0.9866

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.18

Performance 19.96% · Measure score 3.18 · Achievement 3.18 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

1.48

Baseline 8.41% · Performance 7.74% · Measure score 1.48 · Achievement 0 · Improvement 1.48

Total nurse turnover

6.49

Baseline 48.00% · Performance 37.14% · Measure score 6.49 · Achievement 6.49 · Improvement 4.19

Adjusted total nurse staffing

1.46

Baseline 2.80 hours · Performance 3.38 hours · Measure score 1.46 · Achievement 1.06 · Improvement 1.46

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.3%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 59 · Observed rate 13.56% · Lower 95% interval 6.51%
Discharge to community	35.24%	50.57% 15.3 pts worse	Worse than the National Rate · Eligible stays 47 · Observed rate 21.28% · Lower 95% interval 23.45%
Medicare spending per beneficiary	0.96	1.02 0.1 pts better
Drug regimen review with follow-up	91.11%	95.27% 4.2 pts worse	Numerator 41 · Denominator 45
Falls with major injury	2.22%	0.77% 1.5 pts worse	Numerator 1 · Denominator 45
Discharge self-care score	60.71%	53.69% 7 pts better	Numerator 17 · Denominator 28
Discharge mobility score	42.86%	50.94% 8.1 pts worse	Numerator 12 · Denominator 28
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 45 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.73%	7.12% 0.6 pts worse	No Different than the National Rate · Eligible stays 41 · Observed rate 12.2% · Lower 95% interval 4.35%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 145
Staff flu vaccination coverage	32.39%	42% 9.6 pts worse	Numerator 46 · Denominator 142
Discharge function score	50%	56.45% 6.5 pts worse	Numerator 14 · Denominator 28
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
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	19.05%	25.2% 6.1 pts worse	Numerator 4 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	1.5 0.5 pts worse	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.7	1.4 1.3 pts worse	1.8 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.3 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.4%	91.2% 6.2 pts better	93.4% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 93.8% · Q2 97.9% · Q3 98.9% · Q4 98.9% · 4Q avg 97.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	90.1%	94.0% 3.9 pts worse	95.5% 5.4 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 90.1%
Percentage of long-stay residents experiencing one or more falls with major injury	2.9%	3.6% 0.7 pts better	3.3% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.2% · Q3 3.2% · Q4 2.1% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.4%	15.7% 13.3 pts better	11.4% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 1.4% · Q3 1.4% · Q4 2.8% · 4Q avg 2.4%
Percentage of long-stay residents who lose too much weight	8.6%	5.7% 2.9 pts worse	5.4% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 12.1% · Q3 6.9% · Q4 6.7% · 4Q avg 8.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	33.5%	20.2% 13.3 pts worse	19.6% 13.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 33.0% · Q3 31.0% · Q4 36.6% · 4Q avg 33.5%
Percentage of long-stay residents who received an antipsychotic medication	16.4%	15.0% 1.4 pts worse	16.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.0% · Q2 16.2% · Q3 14.3% · Q4 12.2% · 4Q avg 16.4% · 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	22.7%	17.5% 5.2 pts worse	16.3% 6.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 10.4% · Q4 31.0% · 4Q avg 22.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.8%	15.7% 3.1 pts worse	14.9% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 19.2% · Q3 8.2% · Q4 23.1% · 4Q avg 18.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.5% 0.1 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 0.9% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.5%	1.6% 1.1 pts better	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.2%	22.2% 4 pts better	19.8% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 19.8% · Q3 18.9% · Q4 16.0% · 4Q avg 18.2%
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 6.1% · Q2 5.1% · Q3 4.9% · Q4 5.7% · 4Q avg 5.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	73.5%	74.6% 1.1 pts worse	81.7% 8.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 80.8% · Q3 82.7% · Q4 77.9% · 4Q avg 73.5%
Percentage of short-stay residents who had an outpatient emergency department visit	17.3%	11.7% 5.6 pts worse	12.0% 5.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 18.6% · Expected 12.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.8%	1.2% 1.6 pts worse	1.6% 1.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 3.0% · Q3 2.9% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	77.5%	73.6% 3.9 pts better	79.7% 2.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 77.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.2%	22.0% 7.2 pts worse	23.9% 5.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.2% · Observed 32.6% · Expected 26.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-02-22 · Fire 2024-02-22

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2022-09-29 · Fire 2022-09-29

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

9 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2019-07-18 · Fire 2019-07-18

20 health deficiencies

Top issue: Quality of Life and Care (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 2024-02-22

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-11-22

D · Potential for more than minimal harm 2024-02-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-22

D · Potential for more than minimal harm 2024-02-22

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-11-22

F · Potential for more than minimal harm 2022-09-29

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-03-10

F · Potential for more than minimal harm 2022-09-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-23

F · Potential for more than minimal harm 2022-09-29

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-10

F · Potential for more than minimal harm 2022-09-29

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-03-10

F · Potential for more than minimal harm 2022-09-29

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-03-10

F · Potential for more than minimal harm 2022-09-29

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 2023-03-10

F · Potential for more than minimal harm 2022-09-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-01-23

F · Potential for more than minimal harm 2022-09-29

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-03-10

D · Potential for more than minimal harm 2022-09-29

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 2023-01-23

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-02-22

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 2024-05-08

D · Potential for more than minimal harm 2024-02-22

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-05-08

D · Potential for more than minimal harm 2024-02-22

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 2024-05-08

D · Potential for more than minimal harm 2024-02-22

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-05-08

D · Potential for more than minimal harm 2024-02-22

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-05-08

D · Potential for more than minimal harm 2024-02-22

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-05-08

D · Potential for more than minimal harm 2024-02-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-08

C · Minimal harm 2024-02-22

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-05-08

D · Potential for more than minimal harm 2022-09-29

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 2022-12-16

J · Immediate jeopardy 2019-07-18

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 2019-11-13

J · Immediate jeopardy 2019-07-18

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 2019-09-12

F · Potential for more than minimal harm 2019-07-18

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 2019-09-12

E · Potential for more than minimal harm 2019-07-18