Hiram W Davis Medical Ctr

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

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.

Staffing

CMS has not published payroll-based (PBJ) staffing hours for this facility yet — this can happen for newer, hospital-based, or recently-certified homes. It can also mean the home simply did not file, which CMS does not distinguish in this data, so treat the gap as unexplained rather than benign. Staffing is one of the three parts of the CMS star rating; where it’s missing, weigh the independent health-inspection score most, and ask the facility directly about its nurse-to-resident ratios and weekend RN coverage.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. 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.

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.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

• Potential for harm · E2026-02-12 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure 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, clinical record review, and facility document review, the facility staff failed to complete monthly medication regimen reviews for (4) four of (5) five sampled residents, Resident #1, Resident #6, Resident #4, and Resident #5. The findings included:1. For Resident #1 the facility failed to ensure a monthly medication regimen review (MRR) was completed for the month of March 2025. Resident #1's diagnosis list indicated diagnoses that included, but were not limited to, chronic heart failure, atrial fibrillation, mild neurocognitive disorder, anxiety, agitation, peripheral vascular disease, psychosis, and visual hallucinations. The most recent annual minimum data set (MDS) with an assessment reference date (ARD) of 11/18/25, assigned the resident a BIMS (brief interview for mental status) summary score of 13 out of 15 for cognitive abilities, indicating the resident was cognitively intact. A review of Resident #1's MRRs did not disclose a MRR was completed for March 2025. On 2/11/26 at 12:23 PM, the pharmacy director (PD) was interviewed and agreed the MRR was…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-12 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure call bell was in reach for (1) one of (14) fourteen sampled residents, Resident #21. The findings included:Resident #21's clinical record listed diagnoses which included but not limited to acquired blindness of bilateral eyes, bilateral hearing loss, agitation, and schizoaffective schizophrenia.Resident #21's most recent minimum data set with an assessment reference date of 01/27/26 coded the resident as having both long- and short-term memory problems with moderately impaired cognitive skills for daily decision making. Resident #21's comprehensive care plan was reviewed and contained a plan for At risk for falls. Interventions for this care plan include call light in reach.Surveyor observed Resident #21 on 02/10/26 at 12:50 pm. Resident #21 was seated in wheelchair beside bed. Surveyor observed Resident #21's call bell located on the floor behind the head of the bed.Surveyor observed Resident #21 on 02/11/26 at 8:45 am and 1:30 pm. Resident was lying in…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-12 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, resident interview, staff interview, clinical record review, and facility document review, the facility failed to provide activities of daily living care for (1) one of (14) fourteen sampled residents, Resident #5. The findings included:For Resident #5 the facility staff failed to provide nail care.Resident #5's clinical record listed diagnoses which included but not limited to cerebrovascular accident (stroke) and hemiplegia or hemiparesis.Resident #5's most recent minimum data set with an assessment reference date of 01/20/26 assigned the resident a brief interview for mental status score of 12 out of 15 in section C, cognitive patterns. This indicates that the resident is moderately cognitively impaired. Section G, functional status coded the resident as needing substantial/maximal assistance with personal hygiene.Resident #5's comprehensive care plan was reviewed and contained a plan for Self-care deficit. Interventions for this care plan include Provide appropriate level of assistance with ADL's (activities of daily living).Surveyor spoke with Resident #5…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-12 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, staff interview, and facility document review, the facility staff failed to follow provider orders for medication administration for (1) one of (14) fourteen sampled residents, Resident #7. The findings included:For Resident #7, the facility staff failed to administer a provider ordered medications acetaminophen, chlorpromazine, divalproex, docusate, duloxetine, eucerin cream, gabapentin, menthol-zinc oxide ointment, and senna, on the evening of 1/20/26. Resident #7's diagnosis list indicated diagnoses, which included, but not limited to, pain of left/right leg, schizophrenia, bipolar disorder, constipation, depression, and soft tissue disorder. The most recent quarterly minimum data set (MDS) with an assessment reference date (ARD) of 12/23/25, assigned the resident a brief interview for mental status (BIMS) summary score of 11 out of 15 for cognitive abilities, indicating the resident was moderately impaired in cognition. A review of a medical provider orders disclosed the following ordered medications: .acetaminophen.650 mg (milligrams).BID (twice…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-12 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to maintain an accurate clinical record for (1) one of (14) fourteen sampled residents, Resident #1. The findings included:For Resident #1, the facility staff failed to accurately document medication regimen reviews (MRRs) for no irregularities on 2/21/25, 4/10/25, 5/15/25, 6/16/25, 7/25/25, 8/29/25, 9/18/25, 10/17/25, 11/12/25, 12/16/25, and 1/22/26. Resident #1's diagnosis list indicated diagnoses that included, but were not limited to, chronic heart failure, atrial fibrillation, mild neurocognitive disorder, anxiety, agitation, peripheral vascular disease, psychosis, and visual hallucinations. The most recent annual minimum data set (MDS) with an assessment reference date (ARD) of 11/18/25, assigned the resident a BIMS (brief interview for mental status) summary score of 13 out of 15 for cognitive abilities, indicating the resident was cognitively intact. A review of Resident #1's MRRs for 2/21/25, 4/10/25, 5/15/25, 6/16/25, 7/25/25, 8/29/25, 9/18/25, 10/17/25, 11/12/25,…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-03-17 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, facility documentation review and clinical record review, the facility staff failed to offer and provide the flu and /or pneumonia vaccines to 3 Residents (Resident #1, #27, #247) in a survey sample of 5 Resident's reviewed for flu and pneumonia immunizations. The findings included: On 3/15/22, the facility staff were asked to provide any and all evidence regarding flu and pneumonia immunizations for the survey sample of 5 Residents selected for review of immunizations. On 3/16/22, the requested information was reviewed and revealed the following: 1. Resident #1 had no information submitted to indicate that the Resident had received the flu or pneumonia vaccine or had a history of receiving it previously. 2. For Resident #27, the facility submitted a progress note from a medical provider/nurse practitioner that was dated 3/22/21, and read, Legal guardian gave permission for flu immunization. No further information was provided. 3. For Resident #247, the facility submitted no information regarding flu and pneumonia immunizations. On the COVID immunization…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-03-17 · tag F0886 — failed to test for COVID-19 as required — pattern
  Perform COVID19 testing on residents and staff.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview and facility documentation review, the facility staff failed to conduct COVID-19 testing as required for 105 facility staff who were not up-to-date with COVID-19 vaccinations, out of a total of 205 employees. The findings included: On 3/15/22, the facility staff submitted evidence of tracking the community transmission rates. This revealed: 12/6/21-3/8/22, the community rate of transmission was noted as high. On 3/13/22, the community rate of transmission was noted as low. The facility submitted evidence that for the week of, 3/7/22-3/13/22, only 17 employees were tested for COVID-19. Review of the facility staff vaccination matrix revealed the following data: 210 total employees, 105 who are up to date with COVID immunizations, 94 who are not up to date (have not received boosters), and 11 with granted/approved exemptions. On 3/16/22 at 3:08 PM, a group interview was held with the Director of Nursing (DON), Employee C the Assistant Director of Nursing (ADON) and RN B, the employee health nurse. The ADON said that she and RN B conduct the employee testing…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-03-17 · tag F0888 — isolated
  Ensure staff are vaccinated for COVID-19
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview and facility documentation review, the facility staff failed to develop COVID-19 vaccination policies for staff that include all of the required components, failed to track the immunization status of all facility employees, and failed to ensure 100% of facility staff were vaccinated, the facility vaccination rate was 98.1%. 1. The facility failed to develop COVID-19 policies that included the implementation of additional precautions to mitigate the transmission of COVID-19, for staff who are not fully vaccinated for COVID-19. 2. The facility failed to include 3 staff members of the vaccination tracking and were unaware of their vaccination status. 3. The facility staff failed to ensure 1 staff member had an appropriate request for a medical exemption. 4. The facility staff vaccination rate for COVID-19 was 98.1%. The findings included: 1. The facility failed to develop COVID-19 policies that included the implementation of additional precautions to mitigate the transmission of COVID-19, for staff who are not fully vaccinated for COVID-19. On 3/15/22, the…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2019-03-28 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, clinical record reviews, and facility documentation, the facility staff failed to ensure professional practice standards for medication administration for 4 residents (Resident #38, Resident #2, Resident 11 # , Resident #13 ) in a sample size of 21. 1. For Resident #38, the facility staff failed to administer medications via gastrostomy tube according to professional practice standards. 2. For Resident # 2, the facility staff failed to document the administration of medications as ordered by the physician 3. For Resident #11 the facility staff failed to follow physicians order and administered Tramadol twice in one day when it was ordered daily at 6:30 AM. 4. For Resident #13, the facility staff failed to obtain weights as ordered by the physician The findings include: 1. For Resident #38, the facility staff failed to administer medications via gastrostomy tube according to professional practice standards. Resident #38, a [AGE] year old male, was admitted to the facility…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2019-03-28 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and staff interview the facility staff failed to transport linen in a manner to prevent the spread of infection in one of two dining areas. In one of two dining areas during meal service the facility staff failed to distribute clothing protectors in a manner to prevent the spread of infection. The findings included: On 3/27/19 from 11:11am until 11:21am, during observation of meal service on the third floor, CNA F (certified nursing assistant) , CNA G, and LPN D (licensed practical nurse) were holding clothing protectors against their body, which was touching their clothing, while they were distributing the clothing protectors to residents. On 03/28/19 at 11:15 AM, during an interview with RN A, when asked how should staff transport linens, she replied staff would wash their hands, obtain linen for what they need, and carry it holding it not against their clothing or anything like that. On 3/28/19 at 2:26pm during a meeting with the Administrator and DON when asked what their expectations regarding linen transport, the DON replied, hold it in their hands, 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in VA