33 health deficiencies
Top issue: Quality of Life and Care (13 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Newport News, VA
1-star overall rating with 1-star inspections with 33 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1000 Old Denbeigh Boulevard, Newport News, VA
(757) 875-2000
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
209
Certified beds
Average residents
196
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Riverside Health System
Operator or chain grouping
Approved since
1969-12-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 4 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
0.49
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.11
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.76
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.36
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.60
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.94
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
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.48
CMS adjusted RN staffing hours
Adjusted total hours
3.34
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
1,396
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
57
Composite VBP score used to determine payment impact.
Payment multiplier
1.0121
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
8.26
Baseline 23.50% · Performance 17.83% · Measure score 8.26 · Achievement 7.77 · Improvement 8.26
Healthcare-associated infections
10
Baseline 6.42% · Performance 4.99% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
3.80
Baseline 53.75% · Performance 48.13% · Measure score 3.80 · Achievement 3.80 · Improvement 1.45
Adjusted total nurse staffing
0.73
Baseline 2.90 hours · Performance 3.26 hours · Measure score 0.73 · Achievement 0.63 · Improvement 0.73
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.92% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 404 · Observed rate 9.16% · Lower 95% interval 7.85% |
| Discharge to community | 58.05% |
50.57%
7.5 pts better
|
Better than the National Rate · Eligible stays 430 · Observed rate 52.56% · Lower 95% interval 53.96% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 262 · Denominator 262 |
| Falls with major injury | 0.38% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 262 |
| Discharge self-care score | 47.66% |
53.69%
6 pts worse
|
Numerator 102 · Denominator 214 |
| Discharge mobility score | 47.66% |
50.94%
3.3 pts worse
|
Numerator 102 · Denominator 214 |
| Pressure ulcers or injuries, new or worsened | 1.53% |
2.29%
0.8 pts better
|
Numerator 4 · Denominator 262 · Adjusted rate 1.46% |
| Healthcare-associated infections requiring hospitalization | 4.99% |
7.12%
2.1 pts better
|
No Different than the National Rate · Eligible stays 250 · Observed rate 3.2% · Lower 95% interval 3.06% |
| Staff COVID-19 vaccination coverage | 6.19% |
8.2%
2 pts worse
|
Numerator 19 · Denominator 307 |
| Staff flu vaccination coverage | 92.96% |
42%
51 pts better
|
Numerator 383 · Denominator 412 |
| Discharge function score | 47.2% |
56.45%
9.2 pts worse
|
Numerator 101 · Denominator 214 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 177 · Denominator 177 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 32 · Denominator 32 |
| Resident COVID-19 vaccinations up to date | 32.41% |
25.2%
7.2 pts better
|
Numerator 47 · Denominator 145 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.5
About the same
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.8 · 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 1.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
91.2%
7.6 pts better
|
93.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 100.0% · Q3 98.2% · Q4 100.0% · 4Q avg 98.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.6% |
94.0%
2.6 pts better
|
95.5%
1.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
3.6%
1.3 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.4% · Q3 1.8% · Q4 1.9% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.1% |
15.7%
14.6 pts better
|
11.4%
10.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 1.3% · Q4 2.6% · 4Q avg 1.1% |
| Percentage of long-stay residents who lose too much weight | 8.5% |
5.7%
2.8 pts worse
|
5.4%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 9.9% · Q3 6.5% · Q4 5.6% · 4Q avg 8.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.8% |
20.2%
2.4 pts better
|
19.6%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 18.3% · Q3 17.0% · Q4 19.0% · 4Q avg 17.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.1% |
15.0%
3.1 pts worse
|
16.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 16.1% · Q3 17.7% · Q4 20.5% · 4Q avg 18.1% · 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 | 12.3% |
17.5%
5.2 pts better
|
16.3%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 16.9% · Q3 9.7% · Q4 8.4% · 4Q avg 12.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.9% |
15.7%
5.8 pts better
|
14.9%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 8.3% · Q3 9.1% · Q4 12.9% · 4Q avg 9.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
0.5%
0.4 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.5% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.5% |
1.6%
1.9 pts worse
|
1.7%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 4.8% · Q3 2.5% · Q4 4.4% · 4Q avg 3.5% · 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 23.6% · Q2 30.3% · Q3 17.9% · Q4 29.8% · 4Q avg 25.4% |
| Percentage of long-stay residents with pressure ulcers | 7.8% |
5.2%
2.6 pts worse
|
5.1%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 8.2% · Q3 7.0% · Q4 7.2% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.4% |
74.6%
14.8 pts better
|
81.7%
7.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.1% · Q2 92.3% · Q3 89.7% · Q4 84.2% · 4Q avg 89.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.3% |
11.7%
3.6 pts worse
|
12.0%
3.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 14.8% · Expected 10.8% · 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 0.6% · Q2 0.6% · Q3 0.6% · Q4 0.6% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.3% |
73.6%
9.7 pts better
|
79.7%
3.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.0% |
22.0%
1 pts better
|
23.9%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 19.0% · Expected 21.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (13 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Rights (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (6 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-29
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-01-29
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-29
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2018-09-16
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2018-09-16
Fire Safety
Meet other general requirements that are deficient.
Corrected 2018-09-25
Fire Safety
Provide properly protected cooking facilities.
Corrected 2018-09-25
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-29
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-29
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-09-29
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-29
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2025-09-29
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-29
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 2025-09-29
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-01-22
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-01-22
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-01-22
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-01-22
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 2024-01-22
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 2024-01-22
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-01-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-22
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 2024-01-22
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-01-22
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-01-22
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 2024-01-22
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-01-22
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-01-22
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 2024-01-22
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-01-22
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-22
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 2024-01-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-22
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-01-22
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-01-22
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 2024-01-22
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-01-22
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-01-22
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-01-22
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-01-15
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2020-04-06
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 2020-04-06
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 2020-04-06
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 2020-04-06
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 2020-04-06
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 2020-04-06
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2020-04-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-04-06
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2020-04-06
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 2020-04-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2018-09-16
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2018-09-16
Health
Provide activities to meet all resident's needs.
Corrected 2018-09-16
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2018-09-16
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2018-09-16
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 2018-09-16
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2018-09-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2018-09-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-09-16
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 2018-09-16
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2018-09-16
Health
Ensure that residents are free from significant medication errors.
Corrected 2018-09-16
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 2018-09-16
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2018-09-16
Penalties and ownership
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
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