5 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Newport News, VA
5-star overall rating with 4-star inspections with 5 recent health deficiencies
955 Harpersville Rd, Newport News, VA
(757) 599-4376
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
52
Certified beds
Average residents
48
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2008-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
1.11
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.25
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
2.77
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
5.13
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
2.35
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.12
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
0.17
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.13
CMS adjusted RN staffing hours
Adjusted total hours
5.25
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
218
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
77.50
Composite VBP score used to determine payment impact.
Payment multiplier
1.0252
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
10
Baseline 21.68% · Performance 16.71% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
10
Baseline 5.68% · Performance 4.93% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
5.26
Baseline 48.65% · Performance 42.19% · Measure score 5.26 · Achievement 5.26 · Improvement 2.22
Adjusted total nurse staffing
5.74
Baseline 4.28 hours · Performance 4.71 hours · Measure score 5.74 · Achievement 5.74 · Improvement 2.36
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.08% |
10.72%
2.6 pts better
|
No Different than the National Rate · Eligible stays 149 · Observed rate 2.68% · Lower 95% interval 4.96% |
| Discharge to community | 58.21% |
50.57%
7.6 pts better
|
Better than the National Rate · Eligible stays 139 · Observed rate 56.83% · Lower 95% interval 50.68% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 95.24% |
95.27%
About the same
|
Numerator 120 · Denominator 126 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 126 |
| Discharge self-care score | 57.14% |
53.69%
3.5 pts better
|
Numerator 52 · Denominator 91 |
| Discharge mobility score | 50.55% |
50.94%
0.4 pts worse
|
Numerator 46 · Denominator 91 |
| Pressure ulcers or injuries, new or worsened | 4.76% |
2.29%
2.5 pts worse
|
Numerator 6 · Denominator 126 · Adjusted rate 5.91% |
| Healthcare-associated infections requiring hospitalization | 4.94% |
7.12%
2.2 pts better
|
No Different than the National Rate · Eligible stays 118 · Observed rate 0.85% · Lower 95% interval 2.85% |
| Staff COVID-19 vaccination coverage | 3.28% |
8.2%
4.9 pts worse
|
Numerator 2 · Denominator 61 |
| Staff flu vaccination coverage | 45.65% |
42%
3.6 pts better
|
Numerator 21 · Denominator 46 |
| Discharge function score | 61.54% |
56.45%
5.1 pts better
|
Numerator 56 · Denominator 91 |
| Transfer of health information to provider | 72.13% |
95.95%
23.8 pts worse
|
Numerator 44 · Denominator 61 |
| Transfer of health information to patient | 86.49% |
96.28%
9.8 pts worse
|
Numerator 32 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 31.88% |
25.2%
6.7 pts better
|
Numerator 22 · Denominator 69 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.5
0.2 pts worse
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.8 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.4
0.5 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.1% |
91.2%
2.9 pts better
|
93.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 82.4% · Q2 94.4% · Q3 100.0% · Q4 100.0% · 4Q avg 94.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.0%
6 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.9% |
3.6%
2.3 pts worse
|
3.3%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 8.3% · Q3 3.2% · Q4 2.9% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.5% |
15.7%
14.2 pts better
|
11.4%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 3.2% · Q4 0.0% · 4Q avg 1.5% |
| Percentage of long-stay residents who lose too much weight | 17.9% |
5.7%
12.2 pts worse
|
5.4%
12.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.5% · Q2 20.6% · Q3 7.7% · Q4 7.1% · 4Q avg 17.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.8% |
20.2%
8.6 pts worse
|
19.6%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.3% · Q2 31.4% · Q3 27.6% · Q4 23.3% · 4Q avg 28.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.8% |
15.0%
10.2 pts better
|
16.7%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 8.3% · Q3 0.0% · Q4 4.5% · 4Q avg 4.8% · 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 | 17.9% |
15.7%
2.2 pts worse
|
14.9%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.6% · Q2 16.1% · Q3 11.5% · Q4 10.3% · 4Q avg 17.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.5%
0.3 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
1.6%
0.8 pts worse
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.7% · Q3 0.0% · Q4 3.1% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.0% |
22.2%
4.8 pts worse
|
19.8%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.2% · Q2 39.9% · Q3 10.3% · Q4 22.0% · 4Q avg 27.0% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
5.2%
About the same
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 5.8% · Q3 0.0% · Q4 8.8% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.5% |
74.6%
9.9 pts better
|
81.7%
2.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 70.8% · Q2 87.5% · Q3 95.2% · Q4 81.6% · 4Q avg 84.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.4% |
11.7%
6.3 pts better
|
12.0%
6.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.4% · Observed 4.6% · Expected 9.5% · 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 | 90.7% |
73.6%
17.1 pts better
|
79.7%
11 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.7% |
22.0%
4.3 pts better
|
23.9%
6.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.7% · Observed 14.7% · Expected 19.8% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Rights (3 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Resident Rights (3 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2020-02-24
Fire Safety
Provide family notifications of emergency plan.
Corrected 2020-02-24
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2020-02-24
Fire Safety
Meet other general requirements that are deficient.
Corrected 2019-02-05
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-02-05
Fire Safety
Establish staff and initial training requirements.
Corrected 2018-10-26
Fire Safety
Conduct testing and exercise requirements.
Corrected 2018-10-26
Inspection history
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 2022-02-11
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2022-02-11
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 2022-02-11
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-02-11
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-02-11
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2020-02-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-02-24
Health
Dispose of garbage and refuse properly.
Corrected 2020-02-24
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 2020-02-24
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 2020-02-24
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2020-02-24
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2020-02-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-02-24
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 2020-02-24
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2020-02-24
Health
Provide and implement an infection prevention and control program.
Corrected 2020-02-24
Health
Provide and implement an infection prevention and control program.
Corrected 2018-10-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-10-26
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2018-10-26
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2018-10-26
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 2018-10-26
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 2018-10-26
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2018-10-26
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
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