Cycle 1
Health 2022-12-20 · Fire 2022-12-20
13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Saluda, VA
Riverside Lifelong Health & Rehabilitation Salud
4-star overall rating with 3-star inspections with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
672 Gloucester Road, Saluda, VA
(804) 758-2363
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
53
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Riverside Health System
Operator or chain grouping
Approved since
2021-04-23
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
Hours and turnover
RN hours / resident day
0.95
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.58
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.66
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.18
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.53
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.72
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.57
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.03
CMS adjusted RN staffing hours
Adjusted total hours
3.46
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
21%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,303
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.49
Composite VBP score used to determine payment impact.
Payment multiplier
0.9934
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.74
Performance 19.70% · Measure score 3.74 · Achievement 3.74 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
5.22
Performance 6.28% · Measure score 5.22 · Achievement 5.22 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
7.24
Performance 34.09% · Measure score 7.24 · Achievement 7.24 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 3.84 hours · Performance 3.08 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.9% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 64 · Observed rate 7.81% · Lower 95% interval 6.58% |
| Discharge to community | 57.1% |
50.57%
6.5 pts better
|
No Different than the National Rate · Eligible stays 57 · Observed rate 54.39% · Lower 95% interval 44.17% |
| Medicare spending per beneficiary | 0.62 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 42 · Denominator 42 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 42 |
| Discharge self-care score | 53.85% |
53.69%
0.2 pts better
|
Numerator 21 · Denominator 39 |
| Discharge mobility score | 82.05% |
50.94%
31.1 pts better
|
Numerator 32 · Denominator 39 |
| Pressure ulcers or injuries, new or worsened | 2.38% |
2.29%
0.1 pts worse
|
Numerator 1 · Denominator 42 · Adjusted rate 1.89% |
| Healthcare-associated infections requiring hospitalization | 6.27% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 43 · Observed rate 2.33% · Lower 95% interval 3.4% |
| Staff COVID-19 vaccination coverage | 3.13% |
8.2%
5.1 pts worse
|
Numerator 3 · Denominator 96 |
| Staff flu vaccination coverage | 98.77% |
42%
56.8 pts better
|
Numerator 80 · Denominator 81 |
| Discharge function score | 71.79% |
56.45%
15.3 pts better
|
Numerator 28 · Denominator 39 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 27 · Denominator 27 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 27.27% |
25.2%
2.1 pts better
|
Numerator 6 · Denominator 22 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
1.5
0.8 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.6 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.4
0.4 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.4 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.0% |
91.2%
4.8 pts better
|
93.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.4% · Q2 90.4% · Q3 100.0% · Q4 100.0% · 4Q avg 96.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% |
94.0%
4.2 pts better
|
95.5%
2.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
3.6%
0.1 pts better
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.8% · Q3 3.9% · Q4 2.2% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.4% |
15.7%
11.3 pts better
|
11.4%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 4.3% · Q3 4.5% · Q4 2.4% · 4Q avg 4.4% |
| 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 2.2% · Q2 5.0% · Q3 4.7% · Q4 0.0% · 4Q avg 3.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.6% |
20.2%
3.6 pts better
|
19.6%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 14.6% · Q3 16.3% · Q4 17.5% · 4Q avg 16.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.7% |
15.0%
0.3 pts better
|
16.7%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 14.7% · Q3 15.6% · Q4 12.5% · 4Q avg 14.7% · 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 ability to walk independently worsened | 17.6% |
17.5%
0.1 pts worse
|
16.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.6% · 4Q avg 17.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.6% |
15.7%
2.1 pts better
|
14.9%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 8.3% · Q3 5.6% · Q4 20.6% · 4Q avg 13.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.5%
0.7 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.4% · Q3 1.4% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
1.6%
0.9 pts worse
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.9% · Q3 2.0% · Q4 2.2% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.5% |
22.2%
8.3 pts worse
|
19.8%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.2% · Q2 31.8% · Q3 29.2% · Q4 23.1% · 4Q avg 30.5% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
5.2%
1.3 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 11.9% · Q3 6.0% · Q4 0.0% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.3% |
74.6%
18.7 pts better
|
81.7%
11.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 84.8% · Q2 88.6% · Q3 96.6% · Q4 98.3% · 4Q avg 93.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 27.5% |
11.7%
15.8 pts worse
|
12.0%
15.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.5% · Observed 24.3% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.1% |
73.6%
15.5 pts better
|
79.7%
9.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.3% |
22.0%
6.7 pts better
|
23.9%
8.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 13.5% · Expected 21.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-03-19 · Fire 2021-03-19
9 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2022-12-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Not marked corrected
Inspection history
Recent health citations
E · Potential for more than minimal harm
2022-12-20
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-01-31
E · Potential for more than minimal harm
2022-12-20
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-01-31
D · Potential for more than minimal harm
2022-12-20
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 2023-01-31
D · Potential for more than minimal harm
2022-12-20
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 2023-01-31
D · Potential for more than minimal harm
2022-12-20
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 2023-01-31
D · Potential for more than minimal harm
2022-12-20
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-01-31
D · Potential for more than minimal harm
2022-12-20
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-01-31
D · Potential for more than minimal harm
2022-12-20
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 2023-01-31
D · Potential for more than minimal harm
2022-12-20
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-01-31
D · Potential for more than minimal harm
2022-12-20
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2023-01-31
D · Potential for more than minimal harm
2022-12-20
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-01-31
D · Potential for more than minimal harm
2022-12-20
F886 · Infection Control Deficiencies
Health
Perform COVID19 testing on residents and staff.
Corrected 2023-01-31
D · Potential for more than minimal harm
2022-12-20
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2023-01-31
E · Potential for more than minimal harm
2021-03-19
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 2021-04-23
E · Potential for more than minimal harm
2021-03-19
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 2021-04-23
D · Potential for more than minimal harm
2021-03-19
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-04-23
D · Potential for more than minimal harm
2021-03-19
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 2021-04-23
D · Potential for more than minimal harm
2021-03-19
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 2021-04-23
D · Potential for more than minimal harm
2021-03-19
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-04-23
D · Potential for more than minimal harm
2021-03-19
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-04-23
D · Potential for more than minimal harm
2021-03-19
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2021-04-23
D · Potential for more than minimal harm
2021-03-19
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 2021-04-23
Penalties and ownership
What sits behind the stars
Ownership
Riverside Healthcare Association, Inc.
5% Or Greater Direct Ownership Interest · Organization
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
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
Dockside Health & Rehab Center
Locust Hill, VA
4-star overall rating with 3-star inspections with $14,740 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Three Rivers Health & Rehab Center
West Point, VA
4-star overall rating with 3-star inspections with $8,492 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Rappahannock Westminster Canterbury
Irvington, VA
4-star overall rating with 3-star inspections with 10 recent health deficiencies
Jump out