Cycle 1
Health 2022-11-03 · Fire 2022-11-03
21 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Waynesboro, VA
River Edge Rehabilitation And Nursing
1-star overall rating with 2-star inspections with 21 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1221 Rosser Ave, Waynesboro, VA
(540) 949-7191
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
109
Certified beds
Average residents
103
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Eastern Healthcare Group
Operator or chain grouping
Approved since
1984-08-01
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
0.40
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.75
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.58
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
2.73
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
2.16
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
2.66
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,872
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.49
Composite VBP score used to determine payment impact.
Payment multiplier
0.9865
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.15
Baseline 21.08% · Performance 19.51% · Measure score 4.15 · Achievement 4.15 · Improvement 3.38
Healthcare-associated infections
3.63
Baseline 6.75% · Performance 6.75% · Measure score 3.63 · Achievement 3.63 · Improvement 0
Total nurse turnover
4.58
Performance 44.94% · Measure score 4.58 · Achievement 4.58 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0.24
Baseline 2.66 hours · Performance 2.89 hours · Measure score 0.24 · Achievement 0 · Improvement 0.24
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.37% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 192 · Observed rate 10.42% · Lower 95% interval 8.14% |
| Discharge to community | 45.53% |
50.57%
5 pts worse
|
No Different than the National Rate · Eligible stays 161 · Observed rate 41.61% · Lower 95% interval 38.11% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 91.34% |
95.27%
3.9 pts worse
|
Numerator 116 · Denominator 127 |
| Falls with major injury | 1.57% |
0.77%
0.8 pts worse
|
Numerator 2 · Denominator 127 |
| Discharge self-care score | 47.83% |
53.69%
5.9 pts worse
|
Numerator 44 · Denominator 92 |
| Discharge mobility score | 34.78% |
50.94%
16.2 pts worse
|
Numerator 32 · Denominator 92 |
| Pressure ulcers or injuries, new or worsened | 0.79% |
2.29%
1.5 pts better
|
Numerator 1 · Denominator 127 · Adjusted rate 0.81% |
| Healthcare-associated infections requiring hospitalization | 6.75% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 129 · Observed rate 5.43% · Lower 95% interval 3.59% |
| Staff COVID-19 vaccination coverage | 3.48% |
8.2%
4.7 pts worse
|
Numerator 4 · Denominator 115 |
| Staff flu vaccination coverage | 26.72% |
42%
15.3 pts worse
|
Numerator 31 · Denominator 116 |
| Discharge function score | 36.96% |
56.45%
19.5 pts worse
|
Numerator 34 · Denominator 92 |
| Transfer of health information to provider | 83.33% |
95.95%
12.6 pts worse
|
Numerator 20 · Denominator 24 |
| Transfer of health information to patient | 88.57% |
96.28%
7.7 pts worse
|
Numerator 62 · Denominator 70 |
| Resident COVID-19 vaccinations up to date | 16.67% |
25.2%
8.5 pts worse
|
Numerator 11 · Denominator 66 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.5
0.2 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
1.4
1.2 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.9% |
91.2%
1.7 pts better
|
93.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 85.1% · Q2 96.1% · Q3 96.6% · Q4 93.1% · 4Q avg 92.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 77.4% |
94.0%
16.6 pts worse
|
95.5%
18.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 77.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.6%
0.8 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 3.9% · Q3 1.1% · Q4 2.3% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 55.6% |
15.7%
39.9 pts worse
|
11.4%
44.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 53.7% · Q2 33.9% · Q3 55.4% · Q4 74.7% · 4Q avg 55.6% |
| Percentage of long-stay residents who lose too much weight | 3.0% |
5.7%
2.7 pts better
|
5.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 7.1% · Q3 1.3% · Q4 1.2% · 4Q avg 3.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.9% |
20.2%
4.7 pts worse
|
19.6%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 30.0% · Q3 19.5% · Q4 27.2% · 4Q avg 24.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.0% |
15.0%
4 pts better
|
16.7%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 11.3% · Q3 12.5% · Q4 9.7% · 4Q avg 11.0% · 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 | 36.1% |
17.5%
18.6 pts worse
|
16.3%
19.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 45.5% · Q2 27.4% · Q3 33.9% · Q4 37.8% · 4Q avg 36.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.0% |
15.7%
11.3 pts worse
|
14.9%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.7% · Q2 25.4% · Q3 30.6% · Q4 21.1% · 4Q avg 27.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.5%
0.3 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 1.0% · Q4 0.8% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
1.6%
0.4 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.3% · Q3 0.0% · Q4 2.3% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.4% |
22.2%
3.2 pts worse
|
19.8%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 31.8% · Q3 22.9% · Q4 20.8% · 4Q avg 25.4% |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
5.2%
1.5 pts better
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 3.8% · Q3 7.3% · Q4 2.2% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 56.2% |
74.6%
18.4 pts worse
|
81.7%
25.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 59.7% · Q3 73.7% · Q4 59.0% · 4Q avg 56.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.6% |
11.7%
5.9 pts worse
|
12.0%
5.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 17.5% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.2%
0.7 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 56.7% |
73.6%
16.9 pts worse
|
79.7%
23 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 56.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.6% |
22.0%
2.4 pts better
|
23.9%
4.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.6% · Observed 17.5% · Expected 21.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-04-08 · Fire 2021-04-08
8 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-05-23 · Fire 2019-05-23
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
C · Minimal harm
2022-11-03
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-04-05
F · Potential for more than minimal harm
2019-05-23
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-07-16
F · Potential for more than minimal harm
2019-05-23
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-07-16
F · Potential for more than minimal harm
2019-05-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-16
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-08-07
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 2025-09-26
E · Potential for more than minimal harm
2025-08-07
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 2025-09-26
E · Potential for more than minimal harm
2025-08-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-26
E · Potential for more than minimal harm
2025-08-07
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 2025-12-26
E · Potential for more than minimal harm
2025-08-07
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 2025-12-26
E · Potential for more than minimal harm
2025-08-07
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 2025-12-26
E · Potential for more than minimal harm
2025-08-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-08-07
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 2025-09-26
D · Potential for more than minimal harm
2025-08-07
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-08-07
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-08-07
F776 · Administration Deficiencies
Health
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2025-09-26
G · Actual harm
2022-11-03
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-12-14
E · Potential for more than minimal harm
2022-11-03
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 2022-12-14
E · Potential for more than minimal harm
2022-11-03
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 2022-12-14
E · Potential for more than minimal harm
2022-11-03
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-12-14
E · Potential for more than minimal harm
2022-11-03
F690 · Quality of Life and Care Deficiencies
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 2022-12-14
E · Potential for more than minimal harm
2022-11-03
F691 · Quality of Life and Care Deficiencies
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2022-12-14
D · Potential for more than minimal harm
2022-11-03
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 2022-12-14
D · Potential for more than minimal harm
2022-11-03
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-12-05
D · Potential for more than minimal harm
2022-11-03
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 2022-12-14
D · Potential for more than minimal harm
2022-11-03
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 2022-12-14
D · Potential for more than minimal harm
2021-04-08
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 2021-05-23
D · Potential for more than minimal harm
2021-04-08
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 2021-05-23
D · Potential for more than minimal harm
2021-04-08
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2021-05-23
D · Potential for more than minimal harm
2021-04-08
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 2021-05-23
D · Potential for more than minimal harm
2021-04-08
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 2021-05-23
D · Potential for more than minimal harm
2021-04-08
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2021-05-23
D · Potential for more than minimal harm
2021-04-08
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 2021-05-23
D · Potential for more than minimal harm
2021-04-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-05-23
E · Potential for more than minimal harm
2019-05-23
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-06-20
E · Potential for more than minimal harm
2019-05-23
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 2019-06-20
D · Potential for more than minimal harm
2019-05-23
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 2019-06-20
D · Potential for more than minimal harm
2019-05-23
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 2019-06-20
D · Potential for more than minimal harm
2019-05-23
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-06-20
D · Potential for more than minimal harm
2019-05-23
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 2019-06-20
D · Potential for more than minimal harm
2019-05-23
F745 · Quality of Life and Care Deficiencies
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2019-06-20
D · Potential for more than minimal harm
2019-05-23
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 2019-06-20
Penalties and ownership
What sits behind the stars
Ownership
Va SNF Operations Holdings 2 LLC
5% Or Greater Direct Ownership Interest · Organization
Jj United Tr
5% Or Greater Indirect Ownership Interest · Organization
Reinmann, Brian
W-2 Managing Employee · Individual
Shapiro, Akiva
Corporate Officer · Individual
Sommer, Nechama
Corporate Officer · Individual
Ydi Eastern Holdco LLC
5% Or Greater Indirect Ownership Interest · Organization
Ydi Irrevocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Summit Square
Waynesboro, VA
4-star overall rating with 3-star inspections with $50,021 in total fines with 5 recent health deficiencies
#2
Shenandoah Nursing Home
Fishersville, VA
5-star overall rating with 4-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Augusta Medical Ctr Skilled Ca
Fishersville, VA
5-star overall rating with 5-star inspections with 2 recent health deficiencies
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