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Autumn Care Of Altavista

1317 Lola Ave, Altavista, VA 24517 · For profit - Limited Liability company · 111 certified beds · (434) 369-6651 Medicare & Medicaid certified

Call the home — (434) 369-6651 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 19 lower-level deficiencies on record (see below)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • about 23% of its spending goes to commonly-owned related companies
  • its last standard health inspection was over 3 years ago — the star rating may not reflect current conditions

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★★★ 5/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1280 Main St · (434) 309-1165 · Call to confirm hours
Pharmacy
Cvs0.6 mi
1100 Main St · (434) 369-4774 · Call to confirm hours
Grocery
1205 Main St · (434) 369-6387 · Call to confirm hours
Park
700 7th St · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased36.7%14.9%15.4%worse
Long-stay residents who lose too much weight5.1%5.4%5.4%typical
Long-stay residents with a catheter left in their bladder0.0%0.4%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection2.4%1.6%2.0%worse
Long-stay residents with depressive symptoms6.0%18.7%6.5%typical
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury3.6%3.6%3.3%typical
Long-stay residents whose ability to walk worsened37.7%15.6%16.1%worse
Long-stay residents on antianxiety or hypnotic medication11.9%20.6%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%94.0%95.3%typical
Long-stay residents with pressure ulcers2.1%4.7%4.7%better
Long-stay residents with worsening bladder/bowel control22.0%21.8%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table10.0%14.2%17.1%better
Short-stay residents who newly got an antipsychotic medication1.8%1.3%1.4%worse
Short-stay residents given the seasonal flu vaccine93.3%73.6%79.4%better
Short-stay residents rehospitalized after admission19.6%22.3%22.6%better
Short-stay residents with an outpatient ER visit11.6%11.5%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.201.521.67better
Long-stay outpatient ER visits per 1,000 resident days1.041.481.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

55.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 139 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

55.8%U.S. median 51.5%
Got home and stayed home
10.8%U.S. median 10.7%
Went back to hospital
56.4%U.S. median 56.6%
Met the expected recovery
0.17U.S. median 0.31
Therapy hours / resident / day
0.09hours / resident / day
Physical therapy
0.07hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 56.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 78 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.17 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF55.8%CMS range 49.6–63.751.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.8%CMS range 8.2–15.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge56.4%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge50.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge38.5%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified97.9%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge97.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization5.7%CMS range 2.5–10.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.861.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.65
RN hours/ resident / day
0.71
LPN hours/ resident / day
1.86
Aide hours/ resident / day
3.22
Total nurse hours/ resident / day
0.40
RN hoursweekends
38.6%
Total nursing turnover
42.1%
RN turnover

How full it usually is: this home is certified for 111 beds and averages 109.8 residents a day — about 99% occupied, or roughly 1 bed typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.22 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.86 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.80 hrs/resident/day on weekends vs 3.38 on weekdays — 17% thinner on weekends. RN hours go from 0.75 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

4
deficiencies at the latest standard inspection (2023-05-24)
8
at the previous standard inspection (2021-08-18)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 3 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

  • Potential for harm · Dcited before2023-05-24 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview and clinical record review, the facility failed to follow physician orders for one of 24 residents. Resident #20 did not have physician ordered Geri sleeves in place. The Findings Include: Diagnoses for Resident #20 included; Convulsions, diabetes, pathological fracture, ostoarthritis, and Alzheimer's disease. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 5/5/23. Resident #20 was assessed with long and short-term memory problems with severely cognitive impairment with daily decion making. On 5/22/23 at 11:58 AM during an initial observation, Resident #20 was lying in bed with partial lower legs exposed. Resident #20's legs showed several small (dime to quarter size) faint bruising with no open areas. On 5/22/23 review of Resident #20's clinical record documented an active physician order that read: Geri sleeves to BLE [bilateral lower extremities] daily . On 5/23/23 at 10:55 AM, Resident #20 was again observed up in a chair and without Geri sleeves to legs in place. On 5/23/23 at…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-05-24 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and clinical record review, the facility staff failed to apply a hand splint for one of twenty-four residents in the survey sample (Resident #93). The findings include: Resident #93 was observed without a splint as required in his plan of care for management of a contracted right hand. Resident #93 was admitted to the facility with diagnoses that included diabetes, Alzheimer's, hypertension, benign prostatic hyperplasia, psychotic/mood disturbance, anxiety, glaucoma, and depression. The minimum data set (MDS) dated [DATE] assessed Resident #93 with short and long-term memory problems, severely impaired cognitive skills, and as having impaired range of motion of the upper extremity on one side. On 5/22/23 at 3:12 p.m., Resident #93 was observed seated in a wheelchair in the day area on his unit. Resident #93's right hand was contracted with fingertips positioned near the palm. There was no hand/wrist splint in place on the right hand. Resident #93 was observed again on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-05-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and clinical record review, the facility staff failed to implement interventions for fall/injury prevention for one of twenty-four residents in the survey sample (Resident #93) The findings include: Resident #93, assessed as a high fall risk, was in bed without protective floor mats in place for injury prevention. Resident #93 was admitted to the facility with diagnoses that included diabetes, Alzheimer's, hypertension, benign prostatic hyperplasia, psychotic/mood disturbance, anxiety, glaucoma, and depression. The minimum data set (MDS) dated [DATE] assessed Resident #93 with short and long-term memory problems, severely impaired cognitive skills, and as having impaired range of motion of the upper extremity on one side. On 5/23/23 at 7:54 a.m., Resident #93 was observed in bed with no protective floor mats on either side of the bed. Resident #93 was observed again on 5/23/23 at 9:45 a.m. in bed with no floor mats in place on either side of the bed. A mat was observed at…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-24 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and clinical record review, the facility failed to ensure an accurate clinical record for two of 24 residents. Resident #20 and Resident #93 had an inaccurate Treatment Administration Record (TAR). The Findings Include: 1. Nurses inaccurately documented use of an intervention for Resident #93, when it was not being applied. Diagnoses for Resident #20 included; Convulsions, diabetes, pathological fracture, ostoarthritis, and Alzheimer's disease. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 5/5/23. Resident #20 was assessed with long and short-term memory problems with severely cognitive impairment. On 5/22/23, review of Resident #20's clinical record documented an active order that read: Geri sleeves to BLE [bilateral lower extremities] daily . On 5/23/23, review of Resident #20's TAR documented (with a check and initials of a nurse) that Geri sleeves had been placed on Resident #20 dated 5/23/23. On 5/23/23 at 10:55 AM,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2021-08-18 · tag F0691 — failed to provide colostomy / ostomy care — pattern
    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview and clinical record review, the facility staff failed to have physician orders for care of a colostomy for one of 27 residents in the survey sample, Resident #28. Resident #28 had no physician orders for colostomy site cleansing and wafer/bag changes for over a month. The findings include: Resident #28 was admitted to the facility on [DATE] with a readmission on [DATE]. Diagnoses for Resident #28 included history of colon cancer with colostomy, encephalopathy, congestive heart failure, atrial fibrillation, esophagitis, peripheral neuropathy, Alzheimer's dementia, dysphagia, adult failure-to-thrive, protein-calorie malnutrition, chronic respiratory failure, anemia, anxiety and history of COVID-19. The minimum data set (MDS) dated [DATE] assessed Resident #28 with short and long-term memory problems and moderately impaired cognitive skills. Resident #28's plan of care (revised 6/23/21) documented the resident had a colostomy. The care plan listed the resident was at risk of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2021-08-18 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident interview, resident council group interview, staff interview, and a test tray observation, the facility staff failed to ensure food served was palatable and attractive in appearance for 8 residents in the survey sample. Resident #57, #83, #11, #55, #23, #15, #34, and #78 complained about the taste and appearance of the food. The findings include: On 08/17/2021 at 10:45 a.m. a group interview was conducted with 7 cognitively intact residents. Residents in the group complained about the food palatability and appearance. Comments from the group included: .the vegetables are salty, there is an over abundance of broccoli, carrots and peas. The only substitutes are soup and/or a sandwich. The food is tough, the broccoli is sometimes cooked to death, and sometimes not cooked enough. The food looks like it is dumped on the plate. No one comes around to ask about food preferences. There is hardly no chicken in the chicken and dumplings. There is some kind of black spicy seasoning on a lot of the food.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2021-08-18 · tag F0806 — failed to honor food preferences — pattern
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interview, resident interview, and review of facility documents, the facility failed to provide residents the opportunity to select alternate menu items, and substituted menu items without the residents' knowledge; and failed to provide appealing options of similar nutritive value as substitutes, for all residents on a regular diet. The findings were: The posted menu for the noon meal on 8/17/2021 consisted of the following: Beef Stroganoff Rice or Noodles Prince [NAME] Veg (vegetable) Blend Blonde Brownie Beverage of Choice Posted next to the main menu was a sign noting the following: Soup and Sandwich Are Available Daily As Meal Substitute. Listed on the sign was a Soup of the Day and a Sandwich of the Day, with the following for 8/17/21: Tuesday: Vegetable Soup and Peanut Butter and Jelly At approximately 9:35 a.m. on 8/17/2021, the Certified Dietary Manager (CDM) was interviewed regarding the lack of meal alternatives. We offer leftovers from the previous meal if there are any,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2021-08-18 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and staff interview, the facility failed to follow professional standards for food service safety in the main kitchen. The oven, deep fryer, and stove were observed dirty with a build up of dirt and grease. The findings were: At approximately 11:45 a.m. on 8/17/2021, during an inspection of the kitchen, the top of the Vulcan Convection Oven was observed dirty, with a dirty oven rack on top of the oven. The sides and front, including the windows, of the oven were covered with caked on dirt and grease. When asked if there was a cleaning schedule for the oven, the Certified Dietary Manager (CDM) said, It (the oven) is twenty years old. The CDM then pointed out a cleaning schedule on a nearby bulletin board. According to the schedule, the gas stove, the top of the convection oven and oven racks, a refrigerator located near a hall, and a refrigerator located near the back door were to be cleaned on 8/16/2021. Stove and both refrigerators were signed off as being cleaned on 8/16/2021. The…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-08-18 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and facility document review, the facility failed to follow professional standards of practice for performing quality control (QC) testing for two glucometers on two of two units: East and West. Staff performing the QC did not follow manufacturer directions, which was identified as the standard to follow for performing the QC. Findings include: On 8/16/21 at 11:00 a.m. during med pass observation LPN (licensed practical nurse) # 1 was asked who did the QC (quality Control) on the glucometers. She stated with the new Assure glucometers, no QC was needed. She stated no controls had been sent with the new glucometers, and no log was done as no QC was being done. On 8/16/21 at approximately 12:00 p.m. the DON (director of nursing) was asked about the QC and also asked if there was a policy. At approximately 2:30 p.m. the DON stated I'll be honest; we haven't done QC on the glucometers since COVID hit; it's probably been a year. We went around and just did all the glucometers and they were all within the reference range. Logs are now in the binders.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-08-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident interview, staff interview, facility document review and clinical record review, the facility staff failed to ensure a safe room environment for one of 27 residents in the survey sample (Resident #64) and failed to provide supervision to prevent accidents for one of 27 residents in the survey sample (Resident #35). A portable oxygen cylinder (3/4 full) was stored unsecured in Resident #64's room. Facility staff failed to provide supervision to prevent multiple falls for Resident #35. The findings include: 1. Resident #64 was admitted to the facility on [DATE] with diagnoses that included COPD (chronic obstructive pulmonary disease), peripheral vascular disease, congestive heart failure, coronary artery disease, wound infection, anxiety and depression. The minimum data set (MDS) dated [DATE] assessed Resident #64 as cognitively intact. On 8/16/21 at 3:00 p.m., Resident #64 was observed in bed in his room. Positioned near the wall to the right of the window was a portable cylinder of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 9 citations
  • Potential for harm · D2021-08-18 · tag F0800 — isolated
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, resident interview, and staff interview, the facility staff failed for one of 27 residents in the survey sample, Resident # 34, to honor the resident's food preferences, and failed to periodically update the resident's food preferences. Resident # 34 was served a meal that included food for which he had expressed a dislike. The resident's food preferences had not been updated since 2017. The findings were: Resident # 34 was admitted to the facility on [DATE] with diagnoses that included history of COVID-19, cerebral palsy, hemiplegia affecting right side, gastroesophageal reflux disease, generalized muscle weakness, history of traumatic brain injury, post traumatic seizures, mood disorder, irritability and anger, and nutritional anemia. According to the most recent Minimum Data Set, a Quarterly with an Assessment Reference Date of 7/1/2021, the resident was assessed under Section C (Cognitive Patterns) as being cognitively intact, with a Summary Score of 15 out of 15. At…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-08-18 · tag F0849 — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, clinical record review, and facility document review, the facility staff failed to ensure professional standards of practice by a hospice provider for one of 27 residents in the survey sample, Resident #20. Records of weekly hospice visits for Resident #20 were not provided to the facility as required in the hospice services agreement. The findings include: Resident #20 was admitted to the facility on [DATE] with diagnoses that includes dementia with behavioral disturbance, hypertension, type 2 diabetes, chronic obstructive pulmonary disease (COPD), anxiety disorder, difficulty walking and encounter for palliative care. The most recent minimum data set (MDS) dated [DATE] was the admission assessment and assessed Resident #20 as severely cognitively impaired for daily decision making with a score of 3 out of 15. Under Section O - Special Treatment and Programs, the MDS assessed Resident #20 as receiving hospice services. Resident #20's clinical record was reviewed on 08/16/2021. Observed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2019-08-22 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on a medication pass and pour observation and facility document review, the facility staff failed to follow infection control practices for handwashing on the East and [NAME] units of the facility. Findings include: 1.On 08/21/19 07:45 AM LPN (Licensed Practical Nurse) #2 prepared medications for Resident #36, which included PO (by mouth) medications and a transdermal patch. LPN #2 gathered the medications, along with med pass 2.0 (a supplemental drink) and a pair of gloves and entered the room. LPN #2 donned the gloves, removed the old patch from the resident's back and applied the new transdermal patch on the resident. LPN #2 then disposed of the old patch, removed the gloves and discarded into the trash. LPN #2 then handed the resident the med pass drink and then began to administer/spoon each PO medication to the resident one by one. Resident #36 took each medication, followed by a drink of the med pass. Resident #36 spilled a small amount of the med pass on her mouth and chin. LPN #2 went to the sink, grabbed a paper towel and wiped the resident's mouth, disposed of the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-08-22 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview and clinical record review, the facility staff failed to follow professional standards of care for one of 25 residents in the survey sample. An extended release tablet of potassium chloride was crushed and administered to Resident #42 during a medication pass observation. The findings include: A medication pass observation was conducted on 8/21/19 at 7:55 a.m. with licensed practical nurse (LPN) #4 administering medications to Resident #42. Among the medications administered to Resident #42 was a tablet of potassium chloride 10 mEq (milliequivalents) ER (extended release). LPN #4 crushed the potassium chloride ER tablet along with the other medications, mixed them in applesauce then administered the crushed mixture to Resident #42. The resident accepted two sips of water while taking the medications. Resident #42's clinical record documented a physician's order dated 12/2/16 for potassium chloride extended release 10 mEq to be administered each day for treatment related to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-08-22 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident interview, staff interview and clinical record review, the facility staff failed to follow physician's orders for a PICC (peripherally inserted central catheter) line dressing change for one of 25 residents in the survey sample, Resident #91; and failed to apply a physician ordered sheep skin arm cushion for one of 25 residents, Resident #307. Findings include: Resident #91 was admitted to the facility on [DATE]. Diagnoses for this resident included, but were not limited to: muscle weakness, diabetes mellitus, PVD (peripheral vascular disease), atrial fibrillation, constipation, high blood pressure, and infection of vascular device. The most current MDS (minimum data set) was a 14 day admission assessment dated [DATE]. This MDS assessed the resident with a cognitive score of 15, indicating the resident was cognitively intact for daily decision making skills. On initial tour of the facility on 8/20/19 (Tuesday) at approximately 10:45 AM, Resident #91 was observed in her wheelchair…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-08-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview and clinical record review, the facility staff failed to implement interventions for pressure ulcer prevention for one of 25 residents in the survey sample. Resident #104's feet/heels were not elevated in bed as required in her plan of care for pressure ulcer prevention. The findings include: Resident #104 was admitted to the facility on [DATE] with diagnoses that included Alzheimer's, dementia with behavioral disturbance, neuropathy, gastroesophageal reflux disease, anxiety, depression, protein-calorie malnutrition, pressure ulcers of right/left buttock, history of femur fracture and mood disorder. The minimum data set (MDS) dated [DATE] assessed Resident #104 with short and long-term memory problems, severely impaired cognitive skills and as requiring the extensive assistance of two people for bed mobility. Resident #104's clinical record documented a physician's order dated 8/15/19 for Heels up while in bed. (As tolerated). Resident #104's plan of care (8/16/19) listed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-08-22 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and facility document review, the facility staff failed to ensure proper wheelchair positioning for one of 25 residents in the survey sample, Resident # 43. Findings include: Resident # 43 was admitted to the facility 8/2/18 with diagnoses to include, but were not limited to: muscle weakness, dementia with behaviors, and Parkinson's disease. The most recent MDS (minimum data set) was a quarterly assessment dated [DATE]. Resident # 43 was assessed as having severe impairment in cognition with a total summary score of 02 out of 15. Resident # 43 was observed on 8/20/19 at approximately 10:30 a.m. at the nursing station in a specialized wheelchair. The resident's feet were not on a foot plate and were hanging over the edge of the seat several inches from the floor. On 8/20/19 at approximately 3:00 p.m. Resident # 43 was again observed at the nurses' station in the same position as described above. LPN (licensed practical nurse) # 1 was asked about the resident's position in…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-08-22 · tag F0761 — failed to label and store drugs safely — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, facility document review and staff interview, the facility failed to store the controlled medication Lorazepam in a secure manner on one of two nursing units (west unit medication room). The findings include: On 8/21/19 at 8:40 a.m., accompanied by licensed practical nurse unit manager (LPN #5), the medication storage refrigerator on the west unit was inspected. Stored in the locked refrigerator were two 30-milliliter bottles of oral liquid Lorazepam labeled for a current resident. One bottle of Lorazepam was unopened and the other bottle had been opened. The bottles of Lorazepam were positioned in the refrigerator on a standard shelf and not stored in a separate, permanently affixed locked box. LPN #5 was interviewed at this time about the storage of the Lorazepam. LPN #5 stated this refrigerator was not equipped with a separate lock box and the Lorazepam was just kept locked in the refrigerator. On 8/21/19 at 12:10 p.m., the director of nursing (DON) was interviewed about the Lorazepam…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2019-08-22 · tag F0583 — failed to protect personal privacy — widespread
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on resident interview and staff interview, the facility failed to ensure prompt delivery of mail received on Saturday, for all residents in the facility. Findings include: On 8/21/19 at 10:30 a.m. a group interview was conducted with six cognitive residents (Residents # 62, 99, 29, 68, 15, and 5). The residents were asked about mail delivery in the facility. Resident # 29 stated The mail is delivered unopened; but we don't get mail on Saturday .there's no one here to deliver it. We get our mail delivered by the activity director and her assistant, but they don't work on the weekends. The other five residents agreed with that statement. On 8/21/19 at 3:50 p.m. the activity director, identified as OS (other staff) # 2 was interviewed about the mail delivery process. OS # 2 stated The mail carrier puts the mail out in the mail box, and payroll or the business office goes out and gets it; any resident mail is put in my box and/or [name of activity assistant] box and then we deliver to the residents. That is Monday through Friday; the residents are right, there is no one here on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to SABER HEALTHCARE GROUP — 126 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 52.9+1.1 vs chain
Health inspection 4 of 52.6+1.4 vs chain
Staffing 3 of 52.2+0.8 vs chain
Quality measures 4 of 54.0≈ chain avg
The other 125 homes this chain runs (chain average 2.9★, per CMS)
1 of 5Autumn Care of MarshvilleMarshville, NC 1 of 5Autumn Care of Myrtle GroveWilmington, NC 1 of 5Autumn Care of WaynesvilleWaynesville, NC 1 of 5Brunswick Health & Rehab CenterAsh, NC 1 of 5Bryn Mawr Extended Care CenterBryn Mawr, PA 1 of 5Caring Heights Community Care & Rehab CtrCoraopolis, PA 1 of 5Colonial Health & Rehab Center, LLCVirginia Beach, VA 1 of 5Currituck Health & Rehab CenterBarco, NC 1 of 5Davidson Health & Rehab CenterLexington, NC 1 of 5Edison Manor Nursing & Rehabilitation CenterNew Castle, PA 1 of 5Gastonia Health & Rehab CenterGastonia, NC 1 of 5Greene Health & Rehab CenterGreensburg, PA 1 of 5Grey Stone Health And Rehabilitation CenterFort Wayne, IN 1 of 5Harmar Village Health & Rehab CenterCheswick, PA 1 of 5Highland Pointe Health & Rehab CenterHighland Heights, OH 1 of 5Hilltop Heights Health & Rehab CenterJohnstown, PA 1 of 5Maple Heights Health & Rehab Center, LLCEbensburg, PA 1 of 5Midtown Oaks Health & Rehab CenterAltoona, PA 1 of 5Mountain City Nursing & Rehabilitation CenterHazleton, PA 1 of 5Providence Health & Rehab CenterBeaver Falls, PA 1 of 5River's Bend Health & Rehab CenterHarrisburg, PA 1 of 5Riverside Health & Rehab CenterMcKeesport, PA 1 of 5South Boston Health & Rehab CenterSouth Boston, VA 1 of 5Tallmadge Health & Rehab CenterTallmadge, OH 1 of 5University Manor Health & RehaCleveland, OH 1 of 5Village Care of KingKing, NC 1 of 5Woodhaven Health & Rehab CenterMonroeville, PA 1 of 5Woodlands Health And Rehab CenterRavenna, OH 2 of 5Aurora Manor Special Care CentAurora, OH 2 of 5Autumn Care Of MadisonMadison, VA 2 of 5Autumn Care Of MechanicsvilleMechanicsville, VA 2 of 5Autumn Care Of SuffolkSuffolk, VA 2 of 5Autumn Care of CorneliusCornelius, NC 2 of 5Autumn Care of RaefordRaeford, NC 2 of 5Autumn Care of SaludaSaluda, NC 2 of 5Autumn Care of ShallotteShallotte, NC 2 of 5Azalea Health & Rehab CenterWilmington, NC 2 of 5Bath Manor Special Care CentreAkron, OH 2 of 5Berea Health & Rehab CenterFredericksburg, VA 2 of 5Broad Mountain Health And Rehabilitation CenterFrackville, PA

Showing 40 of 125; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)OrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 01/01/2023
BNV DYNASTY LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 01/01/2023
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020OrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 01/01/2023
VOLPE, BENJAMINIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; ADP OF THE SNFsince 02/01/2020
WEISBERG, WILLIAMIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; ADP OF THE SNFsince 02/01/2020
NICOLUZAKIS, GREGORYIndividualCORPORATE OFFICER; ADP OF THE SNFsince 02/01/2020
SHG MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/01/2019
MCCLURE, CHRISTIIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2020
ALTAVISTA REAL ESTATE HOLDINGS, LLCOrganizationADP OF THE SNFsince 02/01/2025
CITRIN COOPERMAN ADVISORS LLCOrganizationADP OF THE SNFsince 02/01/2020
SABER GOVERNANCE LLCOrganizationADP OF THE SNFsince 09/01/2019
SABER HEALTHCARE GROUP LLCOrganizationADP OF THE SNFsince 02/01/2020
SHG 4 MT, LLCOrganizationADP OF THE SNFsince 09/24/2025
WALKER & ASSOCIATES PCOrganizationADP OF THE SNFsince 02/01/2020
WIW DYNASTY LLCOrganizationADP OF THE SNFsince 01/01/2023
STAPLES, EMILYIndividualADP OF THE SNFsince 04/01/2025

CMS files one row per role, so the 26 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

11 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$10.7M
Net patient revenuemost recent cost report
+9.7%
Operating marginrevenue minus expenses
$2.3M
Related-party expense23% of expenses
Who pays — share of resident-days
Medicaid 5%Medicare 7%Other / private 88%

This home reported $2.3M paid to related parties — landlords or management companies under common ownership — equal to about 23% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$254per resident / day
operating cost
$7,718per month
≈ monthly operating cost
$281per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in VA

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Virginia Medicaid page.

Typical monthly cost in Virginia
$10,250/mo
Nursing home (semi-private)
$11,680/mo
Nursing home (private)
$6,945/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 495196. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2023-05-24, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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