Federal inspection record · CMS data as of October 1, 2026
Riverside Lifelong Health & Rehabilitation Saluda
672 Gloucester Road, Saluda, VA · (804) 758-2363
- Certified beds
- 60
- Residents per day
- 51
- Ownership
- Non-Profit
- Chain
- Riverside Health System
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 23, 2021
1
How this home got 2 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Riverside Lifelong Health & Rehabilitation Saluda carries 163.5 inspection points. That is fewer than 20% 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
31 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.
Harm and immediate-jeopardy citations (1)
-
K
Provide and implement an infection prevention and control program.
Everything else, by area of care
Resident Assessment and Care Planning7E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care7E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide or obtain dental services for each resident.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service6D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- 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.
Infection Control4D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Perform COVID19 testing on residents and staff.
- D
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.
Resident Rights4E
- E
Keep residents' personal and medical records private and confidential.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Administration2D
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- D
Keep complete, dated laboratory records in the resident's record.
Inspection history
2026-03-06
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2022-12-20
13 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2021-03-19
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 8 min of nursing staff time a day, 55 min of it from a registered nurse.
This home
3 h 8 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 20% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$46,745 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-06 | Fine | $46,745 |
| 2026-03-06 | Payment Denial · 6 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts worse | 2.5 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.2 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.3 pts better | 99.5% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.6 pts better | 95.9% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 1.6% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.6 pts better | 1.9% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts better | 2.6% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.1 pts better | 16.6% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.6 pts worse | 14.8% | 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 ability to walk independently worsened5 pts worse | 19.2% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.8 pts worse | 21.3% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.0% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 1.1% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2 pts worse | 23.3% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts better | 4.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.6 pts better | 87.8% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.5 pts worse | 19.0% | 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 vaccine8.5 pts better | 81.8% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.9 pts worse | 23.9% | 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 Healthcare Association, Inc. | 5% Or Greater Direct Ownership Interest · Organization | 100% | 6 facilities |
| 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 |
| Dacey, Michael | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · 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 | Operational/Managerial Control · Individual | 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
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke1E
- E
Inspect, test, and maintain automatic sprinkler systems.
·
Other homes nearby
-
Dockside Health & Rehab Center
Locust Hill, VA · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 32 min
- Fines
- $14,740
-
Three Rivers Health & Rehab Center
West Point, VA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 16 min
- Fines
- $0
-
Rappahannock Westminster Canterbury
Irvington, VA
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 5 h 9 min
- Fines
- $0