Federal inspection record · CMS data as of October 1, 2026
Riverside Lifelong Health & Rehab Smithfield
101 John Rolfe Drive, Smithfield, VA · (757) 357-3282
- Certified beds
- 34
- Residents per day
- 30
- Ownership
- Non-Profit
- Chain
- Riverside Health System
- Medicare / Medicaid
- Medicare
- Certified since
- September 1, 1998
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Riverside Lifelong Health & Rehab Smithfield carries 13 inspection points. That is fewer than 93% of Virginia's 287 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–45 pts
- 3★ 45–76.5 pts
- 2★ 76.5–168.75 pts
- 1★ over 168.75 pts
Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
16 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights8E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
Resident Assessment and Care Planning2D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Quality of Life and Care2D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate foot care.
Nursing and Physician Services1D
- D
Post nurse staffing information every day.
Pharmacy Service1D
- D
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.
Administration1D
- D
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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-05-29
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2024-04-12
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2021-02-25
9 health deficiencies · 11 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 14 min of nursing staff time a day, 53 min of it from a registered nurse.
This home
4 h 14 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.2 pts better | 95.4% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 95.0% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse | 4.6% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms20.5 pts better | 0.0% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts better | 3.2% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.1 pts better | 15.6% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.5 pts better | 8.7% | 14.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts worse | 15.6% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.6 pts worse | 3.0% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts worse | 3.1% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.1 pts better | 16.2% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts worse | 5.7% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.8 pts better | 92.0% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.8 pts worse | 12.3% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.2 pts better | 86.5% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.8 pts worse | 27.8% | 22.0% | 23.4% |
·
Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Riverside Integrated Services Inc | 5% Or Greater Indirect Ownership Interest · Organization | 95% | 5 facilities |
| Rector & Visitors Of The University Of Virginia | 5% Or Greater Indirect Ownership Interest · Organization | 5% | 5 facilities |
| Alewynse, Joyce | Corporate Director · Individual | 0% | 5 facilities |
| Austin, Walter | Corporate Officer · Individual | 0% | 6 facilities |
| Bates, Jared | Corporate Director · Individual | 0% | 6 facilities |
| Dacey, Michael | Corporate Officer · Individual | 0% | 6 facilities |
| Downey, William | Corporate Officer · Individual | 0% | 7 facilities |
| Haywood, Barbara | Corporate Director · Individual | 0% | 5 facilities |
| Heckler, Edward | Corporate Officer · Individual | 0% | 6 facilities |
| Houser, Jason | Corporate Officer · Individual | 0% | 6 facilities |
| Nelson, Linwood | Corporate Officer · Individual | 0% | 6 facilities |
| Nelson, Linwood | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Riverside Healthcare Association, Inc. | 5% Or Greater Direct Ownership Interest · Organization | 0% | 6 facilities |
| Smith, Conway | Corporate Director · Individual | 0% | 5 facilities |
| Smith, Kirby | Corporate Director · Individual | 0% | 5 facilities |
| Tiller, Brooke | Corporate Director · Individual | 0% | 5 facilities |
| Verser, Joseph | Corporate Director · Individual | 0% | 5 facilities |
| Zeidler, Jeanne | Corporate Director · Individual | 0% | 6 facilities |
·
Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Meet other general requirements.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
Miscellaneous3E
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Provide a written emergency evacuation plan.
- D
Have restrictions on the use of highly flammable decorations.
Egress1D
- D
Have properly located and lighted "Exit" signs.
Construction1D
- D
Add automatic sprinklers after major renovation.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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