Cycle 1
Health 2024-04-12 · Fire 2024-04-12
5 health deficiencies
Top issue: Resident Rights (2 deficiencies)
1 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Smithfield, VA
Riverside Lifelong Health & Rehab Smithfield
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
101 John Rolfe Drive, Smithfield, VA
(757) 357-3282
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
34
Certified beds
Average residents
30
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Riverside Health System
Operator or chain grouping
Approved since
1998-09-01
CMS approved date
Coverage
Medicare
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
Hours and turnover
RN hours / resident day
0.70
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.33
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
2.40
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
4.43
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
2.03
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.13
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.73
CMS adjusted RN staffing hours
Adjusted total hours
4.61
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,890
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.21
Composite VBP score used to determine payment impact.
Payment multiplier
0.9913
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.1
Baseline 21.56% · Performance 19.99% · Measure score 3.1 · Achievement 3.1 · Improvement 2.96
Healthcare-associated infections
7.65
Baseline 5.12% · Performance 5.55% · Measure score 7.65 · Achievement 7.65 · Improvement 0
Total nurse turnover
0
Baseline 35.71% · Performance 63.83% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
4.53
Baseline 4.09 hours · Performance 4.37 hours · Measure score 4.53 · Achievement 4.53 · Improvement 1.16
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.07% |
10.72%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 260 · Observed rate 13.85% · Lower 95% interval 9.73% |
| Discharge to community | 57.59% |
50.57%
7 pts better
|
Better than the National Rate · Eligible stays 215 · Observed rate 55.81% · Lower 95% interval 51.45% |
| Medicare spending per beneficiary | 0.67 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 93.89% |
95.27%
1.4 pts worse
|
Numerator 123 · Denominator 131 |
| Falls with major injury | 0.76% |
0.77%
About the same
|
Numerator 1 · Denominator 131 |
| Discharge self-care score | 65.09% |
53.69%
11.4 pts better
|
Numerator 69 · Denominator 106 |
| Discharge mobility score | 61.32% |
50.94%
10.4 pts better
|
Numerator 65 · Denominator 106 |
| Pressure ulcers or injuries, new or worsened | 5.34% |
2.29%
3 pts worse
|
Numerator 7 · Denominator 131 · Adjusted rate 5.24% |
| Healthcare-associated infections requiring hospitalization | 5.55% |
7.12%
1.6 pts better
|
No Different than the National Rate · Eligible stays 140 · Observed rate 2.86% · Lower 95% interval 3.06% |
| Staff COVID-19 vaccination coverage | 5.62% |
8.2%
2.6 pts worse
|
Numerator 5 · Denominator 89 |
| Staff flu vaccination coverage | 79.87% |
42%
37.9 pts better
|
Numerator 127 · Denominator 159 |
| Discharge function score | 57.55% |
56.45%
1.1 pts better
|
Numerator 61 · Denominator 106 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 73 · Denominator 73 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 34 · Denominator 34 |
| Resident COVID-19 vaccinations up to date | 31.58% |
25.2%
6.4 pts better
|
Numerator 18 · Denominator 57 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
1.5
0.9 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.4
0.6 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7% |
91.2%
4.5 pts better
|
93.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 95.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
3.6%
0.7 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.6% |
15.7%
14.1 pts better
|
11.4%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.6% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.7%
5.7 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.8% |
20.2%
9.6 pts worse
|
19.6%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 29.8% |
| 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 · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.3% |
15.7%
2.4 pts better
|
14.9%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.5% |
0.5%
2 pts worse
|
1.0%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
1.6%
0.1 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.8% |
22.2%
4.6 pts worse
|
19.8%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.8% |
| Percentage of long-stay residents with pressure ulcers | 9.2% |
5.2%
4 pts worse
|
5.1%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.9% |
74.6%
15.3 pts better
|
81.7%
8.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 79.4% · Q2 88.8% · Q3 94.1% · Q4 97.1% · 4Q avg 89.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.6% |
11.7%
2.9 pts worse
|
12.0%
2.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.6% · Observed 13.4% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.2%
0.3 pts worse
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 3.0% · Q3 1.7% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.1% |
73.6%
5.5 pts better
|
79.7%
0.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 79.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.3% |
22.0%
5.3 pts worse
|
23.9%
3.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.3% · Observed 23.7% · Expected 20.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-02-25 · Fire 2021-02-25
9 health deficiencies
Top issue: Resident Rights (5 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2019-03-08 · Fire 2019-03-08
3 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-04-12
K112 · Construction Deficiencies
Fire Safety
Add automatic sprinklers after major renovation.
Corrected 2024-05-20
F · Potential for more than minimal harm
2021-02-25
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-07-13
F · Potential for more than minimal harm
2021-02-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-07-13
F · Potential for more than minimal harm
2021-02-25
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-07-13
F · Potential for more than minimal harm
2021-02-25
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 2021-07-13
F · Potential for more than minimal harm
2021-02-25
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-07-13
F · Potential for more than minimal harm
2021-02-25
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-07-13
E · Potential for more than minimal harm
2021-02-25
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-07-13
D · Potential for more than minimal harm
2021-02-25
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-07-13
D · Potential for more than minimal harm
2021-02-25
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-07-13
D · Potential for more than minimal harm
2021-02-25
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2021-07-13
D · Potential for more than minimal harm
2021-02-25
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2021-07-13
E · Potential for more than minimal harm
2019-03-08
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-05-07
D · Potential for more than minimal harm
2019-03-08
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-05-07
C · Minimal harm
2019-03-08
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2019-04-08
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-04-12
F575 · Resident Rights Deficiencies
Health
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.
Corrected 2024-06-07
D · Potential for more than minimal harm
2024-04-12
F578 · Resident Rights Deficiencies
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 2024-06-07
D · Potential for more than minimal harm
2024-04-12
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 2024-06-07
D · Potential for more than minimal harm
2024-04-12
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 2024-06-07
D · Potential for more than minimal harm
2024-04-12
F849 · Administration Deficiencies
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 2024-06-07
D · Potential for more than minimal harm
2024-04-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-07
D · Potential for more than minimal harm
2021-02-25
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 2021-04-09
D · Potential for more than minimal harm
2021-02-25
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2021-04-09
D · Potential for more than minimal harm
2021-02-25
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 2021-04-09
D · Potential for more than minimal harm
2021-02-25
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 2021-04-09
D · Potential for more than minimal harm
2021-02-25
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 2021-04-09
D · Potential for more than minimal harm
2021-02-25
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2021-04-09
D · Potential for more than minimal harm
2021-02-25
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-04-09
D · Potential for more than minimal harm
2021-02-25
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2021-04-09
F · Potential for more than minimal harm
2019-03-08
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 2019-04-08
D · Potential for more than minimal harm
2019-03-08
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 2019-04-08
D · Potential for more than minimal harm
2019-03-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-04-08
Penalties and ownership
What sits behind the stars
Ownership
Riverside Integrated Services Inc
5% Or Greater Indirect Ownership Interest · Organization
Rector & Visitors Of The University Of Virginia
5% Or Greater Indirect Ownership Interest · Organization
Alewynse, Joyce
Corporate Director · Individual
Austin, Walter
Corporate Officer · Individual
Bates, Jared
Corporate Director · Individual
Dacey, Michael
Corporate Officer · Individual
Downey, William
Corporate Officer · Individual
Haywood, Barbara
Corporate Director · Individual
Heckler, Edward
Corporate Officer · Individual
Houser, Jason
Corporate Officer · Individual
Nelson, Linwood
Operational/Managerial Control · Individual
Nelson, Linwood
Corporate Officer · Individual
Riverside Healthcare Association, Inc.
5% Or Greater Direct Ownership Interest · Organization
Smith, Conway
Corporate Director · Individual
Smith, Kirby
Corporate Director · Individual
Tiller, Brooke
Corporate Director · Individual
Verser, Joseph
Corporate Director · Individual
Zeidler, Jeanne
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
The Newport Nursing And Rehabilitation Center
Newport News, VA
3-star overall rating with 3-star inspections with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
James River Nursing And Rehabilitation Center
Newport News, VA
3-star overall rating with 2-star inspections with 16 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Newport News Nursing & Rehab
Newport News, VA
1-star overall rating with 1-star inspections with 25 recent health deficiencies
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