Southampton Memorial Hosp

Location & what’s nearby

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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

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.

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.

57.3% 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 133 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 65.2% 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 66 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 0.14 therapist hours per resident per day in 2026Q1 — more than 11% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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.

Staffing

How full it usually is: this home is certified for 129 beds and averages 87.5 residents a day — about 68% occupied, or roughly 42 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 4.01 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.19 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.35 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 3.40 hrs/resident/day on weekends vs 4.25 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 1.34 to 0.80 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

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.

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 · Ecited before2023-09-22 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 interviews, staff interviews and clinical record review, the facility staff failed to provide personal care to include showers for 2 out of 38 residents (Resident #12 and #47) who were unable to independently carry out activities of daily living (ADL) care. The findings included: 1. Resident #12 was admitted to the facility on [DATE]. Diagnosis for included but not limited to dementia with behavioral disturbances and Type II diabetes. Resident #12's Minimum Data Set (an assessment protocol) a quarterly with an Assessment Reference Date (ARD) of 06/15/23 coded the resident's Brief Interview for Mental Status (BIMS) score 10 of a possible 15 with moderate cognitive impairment for daily decision-making. In section G (Physical functioning) the MDS coded Resident #12 required total dependence of one with transfer, dressing toilet use and bathing, extensive assistance of one with bed mobility, eating and personal hygiene for ADL care. Resident #12's comprehensive care plan with a revision date 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 · Dcited before2023-09-22 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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, and a clinical record review, the facility staff failed to revise the Person-Centered care plan as the Resident's condition changed for 1 of 38 residents (Resident 26), in the survey sample. The findings included: Resident #26 was originally admitted to the facility 2/9/22 and readmitted [DATE] after an acute care hospital stay. The current diagnoses included heart failure, deep vein thrombosis, schizophrenia, and intellectual disability. The significant change Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 7/22/23 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 8 out of a possible 15. This indicated Resident #26's cognitive abilities for daily decision making were moderately impaired. In section G (Physical functioning) the resident was coded as requiring total care of one person with locomotion on unit, personal hygiene, bathing, dressing, and toileting, extensive assistance of two people with bed…

  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 before2023-09-22 · tag F0775 — isolated
  Keep complete, dated laboratory records in the resident's record.
  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 record review and staff interview the facility failed to file clinical laboratory reports in the resident's clinical record and did not ensure laboratory reports contained the name and address of the testing laboratory. This affected one of 5 residents (Resident (R) 43) reviewed for unnecessary medication reviews. Findings include: Review of the diagnosis tab in R43's electronic medical record (EMR) revealed her diagnosis included atrial fibrillation (an irregular heartbeat that can lead to blood clots in the heart). Review of Physician's Orders under the Orders tab of the paper medical record revealed R43 had a physician's order for Eliquis (an anticoagulant medication used to prevent blood clots) 5 milligrams (MG) twice a day. Review of the medication and treatments section of the paper medical record revealed the resident had a pharmacy report titled Southampton Memorial Hospital Department of Pharmacy Consultant Pharmacist Report Therapeutic suggestions dated 06/28/23. In the report the pharmacist…

  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 · E2020-02-12 · tag F0578 — failed to honor advance directives / code status — pattern
  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.
  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, facility document review and clinical record review it was determined that facility staff failed to ensure that a copy of an advance directive was accessible on the chart for 1 resident (Resident #53); and failed to offer resources to formulate an advance directive for 1 resident and/or representative of 38 residents in the survey sample, (Resident #25); and the facility staff failed to have an Advance Directive policy/procedure. The findings included: 1. Resident #53 was originally admitted to the facility on [DATE], discharged to the hospital on [DATE] and readmitted to the facility on [DATE]. Diagnoses for Resident #53 included but are not limited to, Dependence on Renal Dialysis and Ischemic Cardiomyopathy. Resident #53's Minimum Data Set (an assessment protocol) with an Assessment Reference Date of 12/19/2019 was coded with a BIMS (Brief Interview for Mental Status) score of 11 indicating moderate cognitive impairment. On 2/11/2020 a copy of Resident #53's Advance Directive was…

  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
• Potential for harm · E2020-02-12 · tag F0622 — pattern
  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.
  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 it was determined that facility staff failed to send care plan goals for 4 residents (Resident #33, #53, #64 & #24) of 38 residents in the survey sample when discharged to the hospital. The findings included: 1. Resident #33 was originally admitted to the facility on [DATE], discharged to the hospital on [DATE] and readmitted to the facility on [DATE]. Diagnosis for Resident #33 included but are not limited to, Dementia and Right Hip Fracture. Resident #33's Minimum Data Set (an assessment protocol) with an Assessment Reference Date of 12/03/2019 was coded with a BIMS (Brief Interview for Mental Status) score of 06 indicating severe cognitive impairment. In addition, the Minimum Data Set coded Resident #33 as requiring extensive assistance of 1 for bed mobility and eating, extensive assistance of 2 for transfer and total dependence of 1 for dressing, toilet use, personal hygiene and bathing. On 2/11/2020 at approximately 3:00 p.m., review of Resident #33's…

  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
• Potential for harm · D2020-02-12 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  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 and clinical record review the facility staff failed to provide reasonable accommodation for 1 of 38 residents in the survey sample, Resident #250. The facility failed to ensure the resident had access to the call bell system. The findings included: Resident #250 was admitted to the facility on [DATE] with diagnoses to include but not limited to unspecified dementia without behavioral disturbance. The current MDS (Minimum Data Set) a quarterly with an assessment reference date of 1/9/20 coded the resident as scoring a 7 out of a possible 15 on the Brief Interview for Mental Status, indicating the resident had severely impaired decision making skills. The resident required limited assistance with one staff physical assist with transfers, walking in room and corridor, and extensive assistance of one staff physical assist for locomotion on the unit. The resident normally used a wheelchair for mobility. The Fall Risk Assessment conducted on 1/7/20 identified the resident scored…

  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
• Potential for harm · Dcited before2020-02-12 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 record review, staff and individual interviews the facility staff failed to accurately assess one resident (Resident #67) in the survey sample of 38 residents for tobacco use. The findings included: Resident #67 was admitted to the facility with diagnoses which included, hypertension, peripheral vascular disease, neurogenic bladder, paraplegia and diabetes mellitus. A review of an Minimum Data Set (MDS) dated [DATE] assessed this resident in the area of Cognitive Patterns - Brief Interview for Mental Status (BIMS) as a (14). In the area of Functional Status (Activities of Daily Living) this resident was assessed as 3/2 for bed mobility requiring a one person physical assist. In the area of Transfer this resident was assessed as a 4/3 requiring a two person physical assist. In the area of Other Health Conditions- Current Tobacco Use this resident was assessed as not using tobacco. A Care Plan last up dated 10/13/19 indicated: Habitual - Cigarette Smoker date initiated 11/30/17. Goal- while residing 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2020-02-12 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 review of the clinical record, Resident and staff interviews, the facility failed to provide advanced notice of the Care Plan Conference for one resident, Resident #54, out of 38 residents in the survey sample. The findings included: Resident #54 was admitted to the facility on [DATE] with admitting diagnoses including, but not limited to, muscle weakness, essential hypertension, morbid obesity, major depressive disorder, anxiety disorder. Resident #54's most recent MDS (Minimum Data Set) was an Annual Assessment with an ARD (Assessment Review Date) of 12/19/2019. Resident #54 was coded as moderately impaired in cognitive functioning, scoring a 10 out of 15 on the BIMS (Brief Interview for Mental Status) exam, where, Resident #54 recalled 3 words, the correct month and day of the week. Resident #54 missed recall of the current year by 2-5 years. On 2/11/2020 at approximately 9:45 a.m., Resident #54 was asked about expression of food preferences during Care Plan meetings. Resident #54 responded, What is…

  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 before2020-02-12 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility staff failed to provide activities of daily living for 1 of 38 residents in the survey sample, by failing to provide set up assistance to maintain good oral hygiene for Resident #50. The findings included: Resident #50 was admitted to the facility on [DATE] with a re-admission date of 11/26/19 with diagnoses to include, but not limited to chronic obstructive pulmonary disease and type 2 diabetes. The current MDS (Minimum Data Set) a quarterly with an assessment reference date of 12/12/19 coded the resident as scoring a 15 out of a possible 15 on the Brief Interview for Mental Status, indicating the resident's cognition was intact. The resident was coded as requiring extensive assistance of one person physical assist with personal hygiene to include brushing teeth. The person centered plan of care focus area identified ADL (activities of daily living) self-care performance deficit related to multiple medical problems initiated on 10/15/18. One of the goals was that the resident would have bathing,…

  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 before2020-02-12 · 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 observations during the medication storage task, staff interviews, and clinical record review the facility's staff failed to ensure medication labels were comprised of federally required information for 1 of 38 residents (Resident #67), in the survey sample. The findings included: Resident #67 was originally admitted to the facility 09/29/09 and readmitted [DATE] after an acute care hospital stay. The current diagnoses included stroke, paraplegia and diabetes. The quarterly Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 1/2/20 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 14 out of a possible 15. This indicated Resident #67's cognitive abilities for daily decision making were intact. During the medication storage task, an insulin pen was observed in a regular clear plastic bag with a hand written label attached to it. The name of the drug was hand written on the label but not the net quantity, dosage form/strength, the amount 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.

  Pharmacy Service 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.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 41 rows in the source record cover these 20 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.

2 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.

What families pay in VA