Cycle 1
Health 2024-03-22 · Fire 2024-03-22
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Williamsburg, VA
Riverside Lifelong Health & Rehabilitation Patri
4-star overall rating with 4-star inspections with 2 recent health deficiencies
6000 Patriots Colony Drive, Williamsburg, VA
(757) 220-9000
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
60
Certified beds
Average residents
51
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Riverside Health System
Operator or chain grouping
Approved since
2003-04-14
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
0.88
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.43
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.80
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
4.11
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
2.31
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.60
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.31
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.87
CMS adjusted RN staffing hours
Adjusted total hours
4.08
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
54%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,607
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.28
Composite VBP score used to determine payment impact.
Payment multiplier
0.9870
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.70
Baseline 21.58% · Performance 21.11% · Measure score 0.70 · Achievement 0.70 · Improvement 0.54
Healthcare-associated infections
4.12
Baseline 6.53% · Performance 6.60% · Measure score 4.12 · Achievement 4.12 · Improvement 0
Total nurse turnover
4.53
Baseline 38.71% · Performance 45.16% · Measure score 4.53 · Achievement 4.53 · Improvement 0
Adjusted total nurse staffing
3.56
Baseline 4.16 hours · Performance 4.09 hours · Measure score 3.56 · Achievement 3.56 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.31% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 441 · Observed rate 9.3% · Lower 95% interval 8.42% |
| Discharge to community | 69.38% |
50.57%
18.8 pts better
|
Better than the National Rate · Eligible stays 431 · Observed rate 65.89% · Lower 95% interval 65.22% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 248 · Denominator 248 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 248 |
| Discharge self-care score | 50.26% |
53.69%
3.4 pts worse
|
Numerator 97 · Denominator 193 |
| Discharge mobility score | 55.96% |
50.94%
5 pts better
|
Numerator 108 · Denominator 193 |
| Pressure ulcers or injuries, new or worsened | 5.79% |
2.29%
3.5 pts worse
|
Numerator 14 · Denominator 242 · Adjusted rate 7.45% |
| Healthcare-associated infections requiring hospitalization | 6.6% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 251 · Observed rate 5.58% · Lower 95% interval 4.26% |
| Staff COVID-19 vaccination coverage | 7.75% |
8.2%
0.4 pts worse
|
Numerator 11 · Denominator 142 |
| Staff flu vaccination coverage | 95.08% |
42%
53.1 pts better
|
Numerator 309 · Denominator 325 |
| Discharge function score | 55.44% |
56.45%
1 pts worse
|
Numerator 107 · Denominator 193 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 159 · Denominator 159 |
| Transfer of health information to patient | 95.59% |
96.28%
0.7 pts worse
|
Numerator 65 · Denominator 68 |
| Resident COVID-19 vaccinations up to date | 28.87% |
25.2%
3.7 pts better
|
Numerator 41 · Denominator 142 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.5
0.4 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
1.4
1.1 pts worse
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
91.2%
7.1 pts better
|
93.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.2% · Q3 96.4% · Q4 100.0% · 4Q avg 98.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.3% |
94.0%
3.7 pts worse
|
95.5%
5.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.6%
1.9 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
15.7%
15.7 pts better
|
11.4%
11.4 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 who lose too much weight | 7.4% |
5.7%
1.7 pts worse
|
5.4%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 5.0% · Q3 12.0% · Q4 0.0% · 4Q avg 7.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.5% |
20.2%
7.7 pts better
|
19.6%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 10.0% · Q3 12.0% · Q4 16.7% · 4Q avg 12.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.7% |
15.0%
5.3 pts better
|
16.7%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.7% · 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 need for help with daily activities has increased | 15.5% |
15.7%
0.2 pts better
|
14.9%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q3 4.8% · Q4 9.5% · 4Q avg 15.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.1% |
0.5%
1.6 pts worse
|
1.0%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 4.6% · Q4 2.2% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.4% |
1.6%
1.8 pts worse
|
1.7%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 11.5% · Q3 0.0% · Q4 0.0% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.8% |
22.2%
2.6 pts worse
|
19.8%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 24.1% · Q3 14.1% · Q4 31.1% · 4Q avg 24.8% |
| Percentage of long-stay residents with pressure ulcers | 12.7% |
5.2%
7.5 pts worse
|
5.1%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 7.4% · Q3 16.7% · Q4 7.4% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.4% |
74.6%
9.8 pts better
|
81.7%
2.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 81.5% · Q2 76.6% · Q3 87.6% · Q4 92.8% · 4Q avg 84.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.2% |
11.7%
2.5 pts worse
|
12.0%
2.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.2% · Observed 13.1% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.2%
0.5 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.4% · Q3 0.7% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.0% |
73.6%
11.4 pts better
|
79.7%
5.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.8% |
22.0%
0.2 pts better
|
23.9%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.8% · Observed 18.6% · Expected 20.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-09-30 · Fire 2021-09-30
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2019-09-05 · Fire 2019-09-05
8 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2021-09-30
K905 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that gas containers are correctly designed and tested, and in locations that are labeled.
Corrected 2021-10-20
D · Potential for more than minimal harm
2021-09-30
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2021-10-20
F · Potential for more than minimal harm
2019-09-05
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-09-05
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 2019-11-08
D · Potential for more than minimal harm
2019-09-05
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-09-05
K902 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
Corrected 2019-11-08
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-03-22
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-20
E · Potential for more than minimal harm
2024-03-22
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-05-20
D · Potential for more than minimal harm
2021-09-30
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-11-11
D · Potential for more than minimal harm
2021-09-30
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-11-11
D · Potential for more than minimal harm
2021-09-30
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 2021-11-11
E · Potential for more than minimal harm
2019-09-05
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 2019-10-11
D · Potential for more than minimal harm
2019-09-05
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2019-10-11
D · Potential for more than minimal harm
2019-09-05
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-10-11
D · Potential for more than minimal harm
2019-09-05
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2019-10-11
D · Potential for more than minimal harm
2019-09-05
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2019-10-11
D · Potential for more than minimal harm
2019-09-05
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-10-11
D · Potential for more than minimal harm
2019-09-05
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2019-10-11
D · Potential for more than minimal harm
2019-09-05
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2019-10-11
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
Adolphi, Celia
Corporate Director · Individual
Austin, Walter
Corporate Officer · Individual
Bates, Jared
Corporate Director · Individual
Chase, Michael
Corporate Director · Individual
Courter, Robert
Corporate Director · Individual
Dacey, Michael
Corporate Officer · Individual
Downey, William
Corporate Officer · Individual
Heckler, Edward
Corporate Officer · Individual
Houser, Jason
Corporate Officer · Individual
Morehouse, Thomas
Corporate Director · Individual
Nelson, Linwood
W-2 Managing Employee · Individual
Riverside Healthcare Association, Inc.
5% Or Greater Direct Ownership Interest · Organization
Sherlock, Daniel
Corporate Director · Individual
Silvasy, Stephen
Corporate Director · Individual
Stowell, Philip
Corporate Director · Individual
Treolo, Paul
Corporate Director · Individual
Young, Julie
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Jamestown Health and Rehabilitation
Williamsburg, VA
4-star overall rating with 3-star inspections with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Woodhaven Hall At Williamsburg Landing
Williamsburg, VA
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Williamsburg Post Acute & Rehabilitation
Williamsburg, VA
3-star overall rating with 4-star inspections with 5 recent health deficiencies
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