Chelsea Rehabilitation And Healthcare Center
2715 Dogtown Road, Goochland, VA 23063 · For profit - Limited Liability company · 84 certified beds · (804) 556-4418 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- CMS has flagged it for abuse
- it has an abuse, neglect, or exploitation citation (F0600), cited Sep 2024
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (34) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $10,033 in federal fines (most recent 2024-09-12)
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (2/5)
- about 18% of its spending goes to commonly-owned related companies
- its last standard health inspection was over 2 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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 5 of 5 |
| Long-stay residentspeople who live here | 5 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 improved from 2 to 3 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 2.7% | 14.9% | 15.4% | better |
| Long-stay residents who lose too much weight | 3.8% | 5.4% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.4% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 2.3% | 1.6% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 83.1% | 18.7% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.9% | 3.6% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 0.8% | 15.6% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 21.1% | 20.6% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 97.2% | 94.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.3% | 4.7% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 24.6% | 21.8% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 10.4% | 14.2% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 2.4% | 1.3% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 67.3% | 73.6% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 19.5% | 22.3% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 14.8% | 11.5% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 1.88 | 1.52 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.36 | 1.48 | 1.80 | better |
‡ 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.
53.7% 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 91 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 97.3% 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 75 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 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 3% 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 53.7%CMS range 44.9–62.0 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.4%CMS range 6.4–13.2 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 97.3% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 88.0% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 70.7% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 92.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this 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 discharge | 98.3% | 98.7% | Oct 2024–Sep 2025 | CMS 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 stay | 0.9% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.8% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.0%CMS range 4.4–13.9 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.99 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 84 beds and averages 81.4 residents a day — about 97% occupied, or roughly 3 beds 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 3.12 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.77 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 3.25 on weekdays — 14% thinner on weekends. RN hours go from 0.67 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 46% 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
Deficiencies are unchanged from the previous inspection. 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 2 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.
34 citations, most serious first. The 11 most serious are shown; the remaining 23 are one tap away and print in full.
- Actual harm · Gcited before2024-09-12 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, facility document review and clinical record review, it was determined the facility staff failed to protect a resident from abuse by another resident, resulting in harm, a fractured wrist, for one of 32 residents in the survey sample, Residents #32 and #16. The findings include: The facility synopsis of the event, dated, 3/22/24, documented, Resident to Resident, separated, abut policy initiated. Residents involved: (Resident #32 and Resident #16). The facility synopsis of the event, dated 3/29/24, documented in part, (R32) was in the dining room on the evening of March 22nd around 5:10 p.m. He was watching a program in the dining room, as he often does. When (R16) came into the dining room, he changed the TV channel without first, communicating with (R32). This upset (R32). (R32) stood and aggressively approached (R16), who then pushed (R32); (R32) lost his footing due to the push and fell to the ground attempting to catch himself with his right arm. Resident (R32) sent out for evaluation following complaints of pain in the right wrist and with bruising…
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.
- Potential for harm · D2024-12-10 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, facility document review, and clinical record review, the facility staff failed to notify the provider of a resident's change in condition in a timely manner for one of seven residents in the survey sample, Resident #1. The findings include: For Resident #1 (R1), the facility staff failed to notify the physician in a timely manner of neurological status changes after a fall. A review of R1's clinical record revealed the following progress notes: 3/31/24 at 7:50 p.m. Falls/Trauma .Altered level of consciousness .Patient initial evaluation post fall stable VS (vital signs) WNL (within normal limits). Patient c/o (complained of) pain to left side of head in area of hematoma. Neuro (neurological check) #4 pupils unequal, non-reactive. Patient not following commands appropriately, c/o being nauseated. Recommend sending to ER (emergency room). 3/31/24 at 10:15 p.m. Made aware by CNA (certified nursing assistant) at approximately 1950 (7:50 p.m.) that resident was found on the floor. Went to assess resident. Resident was observed laying (sic) on the floor on her…
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.
- Potential for harm · D2024-12-10 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, facility document review, and clinical record review, the facility staff failed to develop an accurate baseline care plan for one of seven residents in the survey sample, Resident #1. The findings include: For Resident #1 (R1), the facility staff failed to include the risks of taking anticoagulants on the baseline care plan. A review of R1's clinical record revealed the following provider's orders on admission: 3/28/24 Aspirin Oral Tablet Chewable 81 MG (milligrams) (Aspirin) Give 1 tablet by mouth one time a day. 3/28/24 Apixaban (Eliquis) (1) 2.5 mg Give 1 tablet by mouth two times a day. On 12/9/24 at 2:39 p.m., RN (registered nurse) #1 was interviewed. She stated she believed the admission nursing assessment is the beginning of the resident's baseline care plan, but other information to complete the baseline care plan should probably be included. When asked if a resident's taking both Aspirin and Eliquis as blood thinners should be on a resident's baseline care plan, she stated that it should. She stated these two medications increase a resident'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.
- Potential for harm · D2024-12-10 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 staff interview, facility document review, and clinical record review, the facility staff failed to respond to a resident's change in condition in a timely manner for one of seven residents in the survey sample, Resident #1. The findings include: For Resident #1 (R1), the facility staff failed to respond to her neurological status changes after a fall. A review of R1's clinical record revealed the following progress notes: 3/31/24 at 7:50 p.m. Falls/Trauma .Altered level of consciousness .Patient initial evaluation post fall stable VS (vital signs) WNL (within normal limits). Patient c/o (complained of) pain to left side of head in area of hematoma. Neuro (neurological check) #4 pupils unequal, non-reactive. Patient not following commands appropriately, c/o being nauseated. Recommend sending to ER (emergency room). 3/31/24 at 10:15 p.m. Made aware by CNA (certified nursing assistant) at approximately 1950 (7:50 p.m.) that resident was found on the floor. Went to assess resident. Resident was observed laying (sic) on the floor on her left side. Resident noted to have large…
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.
- Potential for harm · E2024-09-12 · tag F0658 — failed to meet professional standards of care — patternEnsure 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 staff interview, facility document review, and clinical record review, the facility staff failed to follow professional standards of care for one of 32 residents in the survey sample, Resident #19. The findings include: 1.a. For Resident #19 (R19), the facility staff failed to document progress notes in a timely manner A review of R19's clinical record revealed three progress notes related to R19 with an effective date between two to four days prior to when the note was actually written. These notes were: On 8/26/24, LPN (licensed practical nurse) #2 wrote a note about what she observed and assessed on 8/22/24. She documented this as a Late Entry. On 8/26/24, RN (registered nurse) #1 wrote a note about what she observed and assessed on 8/23/24. She documented this as a Late Entry. On 8/26/24 at 1:35 p.m., ASM (administrative staff member) #2, the director of nursing, wrote a note about R19 being sent to the emergency room on 8/24/24. The effective date of this note was 8/24/24 at 9:00 p.m. She documented this as a Late Entry. On 9/10/24 at 9:53 a.m., LPN #2 was interviewed.…
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.
- Potential for harm · Dcited before2024-09-12 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
2. For Resident #74, the facility staff failed to maintain dignity of the resident while doing a dressing change. Observation was made on 9/10/24 at 12:15 p.m. of LPN (licensed practical nurse) #2, the wound care nurse administering a treatment for Resident #74 on his buttock. The physician order dated, 8/22/24, documented, Right Buttock: Cleanse with wound cleanser, pat dry, apply silver alginate, border gauze, every day shift for wound care. LPN #2 performed the dressing change as ordered. At the end of the dressing change, LPN #2 took her black marker out of her pocket and wrote on the dressing after the dressing, border gauze, had been applied to the resident's buttock. An interview was conducted with LPN #2 on 9/10/24 at 3:53 p.m. The dressing change was discussed with LPN #2. LPN #2 stated immediately that she wrote her date and initials on the dressing while the dressing was on the resident's buttock. She stated she normally writes on the dressing before she begins her treatments but got distracted with the new wound care provider that morning. When asked why we don't write…
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.
- Potential for harm · D2024-09-12 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, resident interview, staff interview, and facility document review, the facility staff failed to accommodate a resident's needs for one of 32 residents in the survey sample, Resident #72. The findings include: For Resident #72 (R72), the facility staff failed to maintain the resident's call bell within the resident's reach. On 9/9/24 at 7:11 p.m., an observation of R72 lying in bed was conducted. R72 asked where his call bell was and stated he needed it in case he needed something. R72's call bell was observed lying on the floor beside the resident's roommate's bed and was not within R72's reach. There was no clip on the cord so the call bell could not be attached to the resident's bed sheets. On 9/10/24 at 4:09 p.m., an interview was conducted with RN (registered nurse) #2. RN #2 stated staff should clip call bells to residents' bed sheets and ensure call bells are within residents' reach when they round every hour or two hours. On 9/10/24 at 4:39 p.m., ASM (administrative staff member) #1 (the administrator) and ASM #2 (the director of nursing) were made aware…
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.
- Potential for harm · Dcited before2024-09-12 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to evidence that written notification of a hospital transfer was provided to the resident representative for one of 32 residents in the survey sample; Resident #28. The findings include: For Resident #28, the facility staff failed to evidence written notification of a hospital transfer on 7/14/24 was provided to the resident representative. A review of the clinical record revealed a progress note dated 7/14/24 that documented, writer at bedside w/ (with)resident to give evening medication, resident unarousable to voice and touch, noted labored breathing which is a change of condition from baseline call placed to (name of physician) by (licensed practical nurse), recommendations from MD (medical doctor) to send resident to ED (emergency department) for evaluation, RP (responsible party) (name) notified of coc (change of condition) and transfer to hospital @ (at) 1650 (4:50 PM) , ADON (Assistant Director of Nursing) (name) made aware via telephone. Further…
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.
- Potential for harm · Dcited before2024-09-12 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 staff failed to implement a resident's comprehensive care plan for one of 32 residents in the survey sample, Resident #72. The findings include: For Resident #72 (R72), the facility staff failed to implement the resident's comprehensive care plan for the resident's indwelling urinary catheter (1). R72's comprehensive care plan dated 8/16/24 documented, I have an indwelling urinary catheter r/t (related to) urinary retention .Maintain dignity bag/privacy cover over urinary collection bag when in social settings and when visible to others. On 9/9/24 at 7:17 p.m., R72 was observed lying in bed. The resident's indwelling urinary catheter bag was attached to the bed frame. There was no privacy cover on the bag, urine was observed in the bag, and the bag was visible from the hall. On 9/10/24 at 4:09 p.m., an interview was conducted with RN (registered nurse) #2. RN #2 stated the purpose of the care plan is to provide individualized care for each patient. RN #2 stated nurses have access to residents' care plans…
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.
- Potential for harm · D2024-09-12 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide 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
Based on observation, resident interview, clinical record review, staff interview and facility document review it was determined that the facility staff failed to provide ADL (activities of daily living) care to a dependent resident for one of 32 residents in the survey sample, Resident #2. The findings include: For Resident #2 (R2), the facility staff failed to maintain trimmed fingernails. On the most recent MDS (minimum data set), an annual assessment with an ARD (assessment reference date) of 8/23/24, the resident scored 15 out of 15 on the BIMS (brief interview for mental status) assessment, indicating the resident was cognitively intact for making daily decisions. Section GG documented R2 requiring substantial/maximal assistance for personal hygiene and having impairment on one side in the upper extremities. Section I documented R2 having diagnoses including but not limited to Diabetes Mellitus (1). On 9/9/24 at 7:45 p.m., an interview was conducted with R2 in their room. R2 was observed lying in bed with the left hand observed to be contracted with the fingers closed 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.
- Potential for harm · D2024-09-12 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, facility document review, and clinical record review, the facility staff failed to provide care and services for an indwelling urinary catheter for one of 32 residents in the survey sample, Resident #72. The findings include: For Resident #72 (R72), the facility staff failed to maintain the resident's indwelling urinary Foley catheter bag (1) in a sanitary manner. A review of R72's clinical record revealed a physician's order dated 8/26/24 for an indwelling Foley catheter for urinary retention. On 9/9/24 at 7:17 p.m., R72 was observed lying in a low bed. The resident's indwelling urinary Foley catheter bag was attached to the bed frame and was lying on the floor. On 9/10/24 at 4:09 p.m., an interview was conducted with RN (registered nurse) #2. RN #2 stated indwelling urinary Foley catheter bags should be kept off the floor for infection control. On 9/10/24 at 4:39 p.m., ASM (administrative staff member) #1 (the administrator) and ASM #2 (the director of nursing) were made aware of the above concern. The facility policy titled, Catheter Care,…
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.
Show the remaining 23 citations
- Potential for harm · D2024-09-12 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management 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 staff interview, facility document review and clinical record review, it was determined the facility staff failed to maintain a complete pain management program for one of 32 residents in the survey sample, Resident #32. The findings include: For Resident #32, the facility staff failed to clarify the physician order to obtain parameters for two PRN (as needed) pain medications and administered pain medication for a pain scale rating of zero. Resident #32 suffered a fracture of his wrist on 3/22/24. The physician order dated, 3/27/24, documented, Ibuprofen Oral Tablet 200 MG (milligrams); Give 3 tablets by mouth every 6 hours as needed for breakthrough pain. The physician order dated, 4/25/24, documented, Oxycodone HCL (hydrochloride) Tablet 10 MG; Give 1 tablet by mouth every 8 hours as needed for pain. The June 2024 MAR (medication administration record) documented the above orders. The Ibuprofen was administered on the following dates, time and pain scale. (Pain scale is rated 0 - 10; zero indicating…
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.
- Potential for harm · D2024-09-12 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, facility document review and clinical record review, it was determined the facility staff failed to receive the pharmacy recommendations, after the pharmacist completed the medication regimen review, for two of 32 residents in the survey sample, Residents #37 and #76. The findings include: 1. For Resident #37(R37), the pharmacy failed to provide the facility with the pharmacy recommendations, after the medication regimen review (MRR) was completed on 4/24/24 until 5/30/24. The Pharmacy Consultant note in the clinical record, dated 4/24/24 at 9:22 p.m. documented, See report for recommendations. A request was made on 9/11/24 at 10:55 a.m. for the Pharmacy Recommendation of 4/24/24. On 9/11/24 at 11:27 a.m. ASM (administrative staff member) #2, the director of nursing, presented the, Note to Attending Physician/Prescriber, dated 4/24/24, documented in part, This resident has been taking the antipsychotic, Paliperidone ER (extended release) (used to treat schizophrenia) (1) 3 mg (milligrams) daily, for bipolar disorder. IF CLINICALLY APPROPRIATE, please…
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.
- Potential for harm · Dcited before2023-09-28 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard 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
Based on resident interview, staff interview, facility document review and clinical record review, it was determined the facility staff failed to maintain a complete and accurate clinical record for two of four residents in the survey sample, Residents #2 and #3. The findings include: 1. For Resident #2 (R2), the facility staff failed to document the resident's bowel movements. On the most recent MDS (minimum data set) assessment, an admission assessment, with an assessment reference date of 8/16/2023, the resident scored a 14 out of 15 on the BIMS (brief interview for mental status) score, indicating the resident is not cognitively impaired for making daily decisions. In Section G - Functional Status the resident was coded as being dependent upon one staff member for his toileting needs. In Section H - Bowel and Bladder, the resident was coded as being always incontinent of bowel. In the facility computer system, the Dashboard, had documented on 9/26/2023 and 9/27/2023, No BM (bowel movement) X (for) 3 days. The ADL documentation for bowel movements for August 2023 was reviewed and…
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.
- Potential for harm · Ecited before2022-12-13 · tag F0657 — failed to keep the care plan current — patternDevelop 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
Based on staff interview, facility document review and clinical record review, it was determined the facility staff failed to review and revise the comprehensive care plans for three of 33 residents in the survey sample, Residents #11 (R11), #29 (R29), #30 (R30). The findings include: 1. For R11, the facility staff failed to review and revised the comprehensive care plan when psychoactive medications were discontinued. On the most recent MDS (minimum data set) assessment, the resident scored a three out of 15 on the BIMS (brief interview for mental status) score, indicating the resident severely cognitively impaired for making daily decisions. In Section N - Medications, the resident was coded as receiving anti-depressants for seven days of the look back period. R11 was not coded as taking any anti-anxiety medications during the look back period. The comprehensive care plan dated, 3/5/2020 and revised on 11/3/2022, documented, Focus: (R11) uses anti-depressant medication r/t (related to) Depression. The Interventions documented, Administer ANTIDEPRESSANT medications a ordered by…
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.
- Potential for harm · E2022-12-13 · tag F0839 — patternEmploy staff that are licensed, certified, or registered in accordance with state laws.
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 employee record review, it was determined that the facility staff failed to evidence maintenance of required certification for four of five CNA (certified nursing assistants), CNA #1, CNA #2, CNA #3 and CNA #4 The findings include: The facility staff failed to provide the evidence of required certification verification prior to expiration, for four CNAs that were employed for greater than on year. During the Sufficient and Competent Staffing facility task review conducted on [DATE] at 9:30 AM the following CNA employee records and certifications were reviewed and revealed the following: 1. CNA #1 with a date of hire of [DATE], had a previous certification that expired [DATE], however updated certification was not verified through the Department of Health Professions (DHP) until [DATE]. 2. CNA #2 with a date of hire of [DATE], had a previous certification that expired [DATE], however updated certification was not verified through DHP until [DATE]. 3. CNA #3…
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.
- Potential for harm · D2022-12-13 · tag F0582 — isolatedGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview and clinical record review, it was determined that the facility staff failed to provide notice of Medicare non-coverage for two of three residents identified during the beneficiary protection notification resident reviews, Resident #6 and Resident #320. The findings include: 1. For Resident #6 (R6), the facility failed to provide a resident and/or the resident's representative with an ABN (Advance Beneficiary Notice of Non-coverage) waiver of liability when a change in coverage occurred. R6's last covered day of Medicare part A services was 10/20/2022. R6 remained in the facility at the time of the survey. On 12/13/2022 at 8:05 a.m., an interview was conducted with OSM (other staff member) #3, the social services director. OSM #3 stated that they were responsible for providing the ABN notices to residents now. OSM #3 stated that when a resident had Medicare Part A and were discontinued from services with days remaining they provided them the required notices. OSM #3 stated that often residents only used a certain amount of their allotted days and they were…
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.
- Potential for harm · Dcited before2022-12-13 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, facility document review and clinical record review, it was determined the facility staff failed to prevent verbal abuse for two of 33 residents in the survey sample, Residents # 30 (R30) and Resident #119 (R119). The findings include: For R30 and R119, the facility staff failed to prevent verbal abuse towards the residents, by a facility staff member, on 4/8/2022. R30's most recent MDS (minimum data set) assessment, a quarterly assessment, with an ARD (assessment reference date) of 11/16/2022, coded R30 as having both short- and long-term memory difficulties. The resident was coded as being severely impaired for making cognitive daily decisions. R119 no longer resided in the facility. On the most recent MDS assessment, prior to the incident, an admission assessment, with an ARD of 3/23/2022, the resident was coded as scoring a 7 out of 15 on the BIMS (brief interview for mental status) score, indicating the resident was severely cognitively impaired for making daily decisions. The Facility Reported Incident (FRI) dated 4/9/2022, documented in part,…
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.
- Potential for harm · Dcited before2022-12-13 · tag F0622 — isolatedNot 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
Based on staff interview, facility document review, clinical record review and in the course of a complaint investigation, the facility staff failed to implement a facility-initiated discharge requirement for one of 33 residents in the survey sample, Resident #218. The findings include: For Resident #218 (R218), the physician failed to document the basis for the resident's discharge, the specific resident needs that could not be met at the facility, the facility attempts to meet R218's needs, and the services available at the receiving facility to meet R218's needs, when R218 was discharged from the facility on 10/5/21. On the most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 10/5/22, the resident scored 14 out of 15 on the BIMS (brief interview for mental status), indicating the resident was not cognitively impaired for making daily decisions. A review of R218's clinical record revealed a nurse's note dated 10/5/21 that documented R218 was transferred to a local emergency department for shortness of breath, chest pain, nausea and…
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.
- Potential for harm · Dcited before2022-12-13 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, facility document review, clinical record review and in the course of a complaint investigation, the facility staff failed to provide a discharge notice containing all required contents for one of 33 residents in the survey sample, Resident #218. The findings include: For Resident #218 (R218), the facility staff issued an involuntary discharge notice on 10/5/21. The involuntary discharge notice failed to contain the specific location to which the resident was being discharged . On the most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 10/5/22, the resident scored 14 out of 15 on the BIMS (brief interview for mental status), indicating the resident was not cognitively impaired for making daily decisions. A document dated 10/5/21 and titled, Virginia Involuntary Transfer/Discharge Notice documented, To: (R218). From: (Name of former Executive Director) - (name of facility). Re: Discharge Notice- This is to notify you that you, (R218), will be transferred/discharged from our facility to an alternate skilled…
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.
- Potential for harm · D2022-12-13 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, facility document review and clinical record review, it was determined the facility staff failed to maintain a complete and accurate MDS (minimum data set) assessment, for two of 33 residents in the survey sample, Resident #29 (R29) and #30 (R30). The findings include: 1. For R29, the facility staff failed to code Section C - Cognitive patterns accurately on the annual assessment of 11/28/2022 and the quarterly assessment of 8/28/2022. On the most recent MDS assessment, an annual assessment, with an ARD (assessment reference date) of 11/28/2022, R29 was coded in Section B - Hearing, Speech and Vision as understanding others and being understood. In Section C - Cognitive Patterns, the resident interview was not completed. It was coded Should brief interview for mental status be conducted? A No, resident is rarely/never understood. On the quarterly assessment, with an ARD of 8/28/2022, R29 was coded in Section B - Hearing, Speech and Vision as understanding others and being understood. In Section C - Cognitive Patterns, the resident interview was not…
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.
- Potential for harm · D2022-12-13 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, facility document review and clinical record review, the facility staff failed to provide dialysis care and services for one of 33 residents in the survey sample, Resident #1. The findings include: For Resident #1 (R1), the facility staff failed to ensure adequate communication and collaboration for care with the resident's hemodialysis center. On the most recent MDS (minimum data set), a significant change in status assessment with an ARD (assessment reference date) of 11/25/22, the resident's cognitive skills for daily decision making were coded as severely impaired. A review of R1's clinical record revealed a physician's order dated 11/21/22 for hemodialysis every Monday, Wednesday and Friday. R1's comprehensive care plan revised on 11/21/22 failed to document information regarding communication with the dialysis center. A review of R1's dialysis communication book (a book that contained communication forms to be completed by facility staff, sent with the resident to dialysis and returned with documented communication from the dialysis center) revealed…
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.
- Potential for harm · Dcited before2022-12-13 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard 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
Based on staff interview, facility document review and clinical record review, it was determined the facility staff failed to maintain and complete and accurate clinical record for one of 33 residents in the survey sample, Resident #15 (R15). The findings include: For R15, the facility staff failed to document changes in the discharge planning. On the most recent MDS (minimum data set), a quarterly assessment, with an assessment reference date of 9/10/2022, the resident scored a 13 out of 15 on the BIMS (brief interview for mental status) score, indicating the resident is not cognitively impaired for making daily decisions. The Social Services Progress Note dated, 11/1/2022 at 9:10 a.m. documented, SW (social worker) received a call from (name of another nursing facility) requesting additional info (information) concerning transfer referral. SW provided requested info (information). The Social Services Progress Note dated, 11/10/2022 at 2:35 p.m. documented, Received a call from daughter [name of daughter] asking if we could assist with transporting her mom to [name of other…
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.
- Potential for harm · Dcited before2021-08-17 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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, it was determined that the facility staff failed to provide care in a manner to promote dignity for one of 28 residents in the survey sample, Resident #26. During breakfast on 8/17/21, CNA [certified nursing assistant] #2 was observed standing over Resident #26 while she fed the resident breakfast. The findings include: Resident #26 was admitted to the facility on [DATE] with diagnoses including schizophrenia (1), epilepsy (2), and dementia (3). In June 2021, she was diagnosed with nasal cancer that has spread to the brain. On the most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 6/18/21, Resident #26 was coded as rarely/never understood by others for communication. She was coded as being severely impaired for both short term and long term memory. Resident #26 was coded as being completely dependent on staff for eating. On 8/16/21 at 8:06 a.m., observation revealed Resident #26 sitting up 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.
- Potential for harm · D2021-08-17 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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, it was determined the facility staff failed to provide a clean, comfortable, homelike environment for one of 28 residents in the survey sample, Resident #45. Observations on 8/15/21 and 8/16/21, revealed Resident #45 lying in bed covered with a blanket that had multiple black smudges along the top and side edges. The findings include: Resident #45 was admitted to the facility on [DATE] with diagnoses including COPD (chronic obstructive pulmonary disease) (1) and bipolar disorder (2). On the most recent MDS, a quarterly assessment with an ARD of 7/29/21, Resident #45 was coded as being moderately impaired for making daily decisions, having scored 11 out of 15 on the BIMS. On the following dates and times: 8/15/21 at 3:02 p.m.; 8/16/21 at 8:46 a.m. and 12:16 p.m., Resident #45 was observed lying on his back in bed. At each observation, the blanket covering him had multiple black smudges along the top and side edges. On 8/15/21…
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.
- Potential for harm · Dcited before2021-08-17 · tag F0622 — isolatedNot 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, facility document review, and clinical record review, it was determined that the facility staff failed to provide all required documentation to the receiving facility upon a hospital transfer for one of 28 residents in the survey sample, Resident #33. The facility staff failed to evidence that the comprehensive care plan goals were provided to the receiving facility upon Resident #33's transfer to the hospital on 6/15/21. The findings include: Resident #33 was admitted to the facility on [DATE] and had the diagnoses of but not limited to cerebral vascular disease, diabetes, morbid obesity, stroke, acute respiratory failure, dysphagia, spinal stenosis, atrial fibrillation, heart failure, high blood pressure, and depression. The quarterly MDS (Minimum Data Set) assessment with an ARD (Assessment Reference Date) of 7/12/21 coded Resident #33 as cognitively intact in ability to make daily life decisions. The resident was coded as requiring total care for transfers, bathing, and toileting;…
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.
- Potential for harm · Dcited before2021-08-17 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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, it was determined that the facility staff failed to provide written notification of a hospital transfer to the resident and/or resident representative for one of 28 residents in the survey sample, Resident #33. The facility staff failed to evidence that a written notification was provided to the resident or the resident representative upon a hospital transfer on 6/15/21 for Resident #33 The findings include: Resident #33 was admitted to the facility on [DATE] and had the diagnoses of but not limited to cerebral vascular disease, diabetes, morbid obesity, stroke, acute respiratory failure, dysphagia, spinal stenosis, atrial fibrillation, heart failure, high blood pressure, and depression. The quarterly MDS (Minimum Data Set) assessment with an ARD (Assessment Reference Date) of 7/12/21 coded Resident #33 as cognitively intact in ability to make daily life decisions. The resident was coded as requiring total care for transfers,…
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.
- Potential for harm · Dcited before2021-08-17 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 interviews, clinical record reviews and facility document review it was determined that the facility staff failed to implement the comprehensive care plan for fall prevention interventions for two of 28 residents in the survey sample, Resident's #12 and #43. The facility staff failed to implement the comprehensive care plan interventions for Resident #12 and Resident #43 to have fall mats. The findings include: 1. Resident #12 was admitted to the facility with diagnoses that included but were not limited to dementia with behavioral disturbance (1), schizophrenia (2) and COPD (chronic obstructive pulmonary disease) (3). Resident #12's most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 6/6/2021, coded Resident #12 as scoring a 4 (four) on the staff assessment for mental status (BIMS) of a score of 0 - 15, 4- being severely impaired for making daily decisions. Section G coded Resident #12 requiring limited assistance from one staff…
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.
- Potential for harm · Dcited before2021-08-17 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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 observation, resident interview, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to review and revise the comprehensive care plan for three of 28 residents in the survey sample; Residents #25, #45, and #12. The findings include: 1. The facility staff failed to review and revise the comprehensive care plan for the use of side rails for Resident #25. Resident #25 was admitted to the facility on [DATE] and had the diagnoses of but not limited to paraplegia, morbid obesity, heart failure, depression, chronic pain, insomnia, peripheral vascular disease, contractures, and anxiety. The quarterly MDS (Minimum Data Set) assessment with an ARD (Assessment Reference Date) of 7/2/21 coded the resident as being cognitively intact in ability to make daily life decisions. The resident was coded as requiring total care for bathing, hygiene, and bed mobility; extensive assistance for toileting and dressing; limited assistance for transfers,…
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.
- Potential for harm · D2021-08-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 interviews, clinical record reviews and facility document review it was determined that the facility staff failed to implement assistive devices to ensure an environment free of accident and hazards for two of 28 residents in the survey sample, Resident's #12 and #43. The facility staff failed to implement the fall safety intervention of falls mats per the comprehensive care plan and physician orders to prevent accidents for Resident #12 and Resident #43. The findings include: 1. Resident #12 was admitted to the facility with diagnoses that included but were not limited to dementia with behavioral disturbance (1), schizophrenia (2) and COPD (chronic obstructive pulmonary disease) (3). Resident #12's most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 6/6/2021, coded Resident #12 as scoring a 4 on the staff assessment for mental status (BIMS) of a score of 0 - 15, 4- being severely impaired for making daily decisions. Section G coded…
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.
- Potential for harm · D2021-08-17 · tag F0909 — failed to maintain a comfortable temperature — isolatedRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
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, facility document review, and clinical record review, it was determined the facility failed to evidence safety inspection for side rails for one of 28 residents in the survey sample, Resident #45. The facility staff failed to evidence an inspection of Resident #45's bed for safety for the use of side rails. The findings include: Resident #45 was admitted to the facility on [DATE] with diagnoses including COPD (1) and bipolar disorder (2). On the most recent MDS, a quarterly assessment with an ARD of 7/29/21, Resident #45 was coded as being moderately impaired for making daily decisions, having scored 11 out of 15 on the BIMS. He was coded as demonstrating no behaviors during the look back period. He was coded as requiring extensive assistance of one staff member for bed mobility and transfers, and as not walking during the look back period. On the following dates and times: 8/15/21 at 3:02 p.m.; 8/16/21 at 8:46 a.m. and 12:16 p.m.; and 8/17/21 at 8:35 a.m., Resident #45…
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.
- No harm found · Ccited before2022-12-13 · tag F0732 — widespreadPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, clinical record review and facility document review, it was determined the facility staff failed to post daily staffing for one of three days reviewed. The findings include: During the Sufficient and Competent Staffing facility task review started on 12/11/22 and ending on 12/13/22, a review of the daily staffing evidenced the following: On 12/11/22 at 12:15 PM the survey team entered the facility for the survey. On the bulletin board in the main lobby there was nurse staff posting with a date of 12/9/22 on posting. The daily staffing was posted correctly the remainder of the survey, 12/12/22 and 12/13/22. On 12/13/22 at 11:00 AM, an interview was conducted with CNA (certified nursing assistant) #1, the staffing coordinator. When asked the process for posting of the daily staffing, CNA #1 stated, on the weekends, the nurse posts the staffing. An interview was conducted on 12/13/22 at 11:15 with ASM (administrative staff member) #2, the director of nursing. When asked about the daily staff posting, ASM #1 stated, the pages were behind the 12/9 posting, they…
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.
- No harm found · C2021-08-17 · tag F0727 — failed to provide required RN coverage — widespreadHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, and facility document review, it was determined that the facility staff failed to ensure 8 consecutive hours of RN (Registered Nurse) coverage on 7/31/21 and 8/1/21. The findings include: A review of the as-worked schedule and daily staff posting for the last 30 days (7/15/21 to 8/15/21) was conducted. The following was identified: • On Sunday, 7/25/21 the daily posting documented 1 RN (Registered Nurse) for 8 hours of RN coverage. The as-worked schedule did not have any RN's identified as being on shift. • On Saturday, 7/31/21, the daily posting documented 1 RN for 8 hours of RN coverage. The as-worked schedule did not have any RN's identified as being on shift. • On Sunday 8/1/21, the daily posting documented 1 RN for 8 hours of coverage. The as-worked schedule did not have any RN's identified as being on the shift. In addition, it was noted that the daily posting for 8/1/21 did not document any census data for each shift as required. • On Sunday 8/8/21, the daily posting documented 1 RN for 8 hours of coverage. The as-worked schedule did not…
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.
- No harm found · Ccited before2021-08-17 · tag F0732 — widespreadPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, and facility document review, it was determined that the facility staff failed to post the nurse staffing posting prior to each shift on 8/14/21 and 8/15/21; and failed to post daily staffing that was complete and accurate on 7/31/21 and 8/1/21. The findings include: On 8/15/21 (Sunday) upon entry to the facility at 1:30 PM, the staff posting board was observed. The staff posting was dated 8/13/21. Posting for the weekend, Saturday 8/14/21 and Sunday 8/15/21, had not been posted. On 8/16/21 at 11:30 AM in an interview with ASM #2 (Administrative Staff Member), the Director of Clinical Services, she stated that the posting is completed for the weekend and placed in staffing book for weekend charge nurse to post and that they should be posting it each day. She stated that the posting is done daily, not each shift. When asked if it is updated prior to each shift regarding any changes related to census and call outs, she stated that the changes are made to the schedule but may not get transferred to the staff posting that is posted. On 8/16/21 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.
“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.
- 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.
Fines & penalties
$10,033 in federal fines across 1 penalty.
- $10,033 — penalty dated 2024-09-12
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to MARQUIS HEALTH SERVICES — 87 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 3.0 | ≈ chain avg |
| Health inspection | 2 of 5 | 2.6 | -0.6 vs chain |
| Staffing | 2 of 5 | 2.3 | -0.3 vs chain |
| Quality measures | 5 of 5 | 4.3 | +0.7 vs chain |
The other 86 homes this chain runs (chain average 3.0★, per CMS)
Showing 40 of 86; 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 / manager | Type | Role | Since |
|---|---|---|---|
| M&T BANK | Organization | 5% OR GREATER MORTGAGE INTEREST; 5% OR GREATER SECURITY INTEREST | since 12/01/2022 |
| BENSON, JALICIA | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 12/01/2022 |
| HARMAN, DINA | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | since 12/01/2022 |
| LAW, JOSEPH | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | since 12/01/2022 |
| VIROJA, YOGESH | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | since 12/01/2022 |
| POSEN, MINDEE | Individual | CORPORATE OFFICER; ADP OF THE SNF | since 12/01/2022 |
| HEALTHCARE SERVICES GROUP INC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/11/2025 |
| MARQUIS LIMITED LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/04/2025 |
| RELIANT PRO REHAB LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/06/2025 |
| HELLAMS, RALPH | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/01/2022 |
| FLAGLER, OSHER | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 03/07/2025 |
| KAHANOW, AVIVA | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 03/11/2025 |
| LEVOVITZ, TZVI | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 03/11/2025 |
| ROKEACH, FRAIDE | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 03/10/2025 |
| ROKOWSKY, YITZCHOK | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 03/11/2025 |
| CHELSEA PROPERTY LLC | Organization | ADP OF THE SNF | since 12/01/2022 |
| NFR 2020 IRRV TR | Organization | ADP OF THE SNF | since 12/01/2022 |
| QUINTO NEXGEN LLC | Organization | ADP OF THE SNF | since 12/01/2022 |
| RSBRMK HOLDINGS LLC | Organization | ADP OF THE SNF | since 12/01/2022 |
| SK NEXGEN TR | Organization | ADP OF THE SNF | since 12/01/2022 |
| TRYKO NEXGEN HOLDINGS LLC | Organization | ADP OF THE SNF | since 12/01/2022 |
| UAK 2020 IRRV TR | Organization | ADP OF THE SNF | since 12/01/2022 |
| UKR NEXGEN LLC | Organization | ADP OF THE SNF | since 12/01/2022 |
| YK NEXGEN TR | Organization | ADP OF THE SNF | since 12/01/2022 |
| YR NEXGEN TR | Organization | ADP OF THE SNF | since 12/01/2022 |
CMS files one row per role, so the 37 rows in the source record cover these 25 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.
14 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.
About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.6M paid to related parties — landlords or management companies under common ownership — equal to about 18% 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 2024. 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
Straight from this home’s Medicare cost report (CMS, FY2024). 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
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.
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 495236. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-09-12, 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.