Sitter And Barfoot Veterans Care Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

48.4% 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 32 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 36.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 47 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 0.16 therapist hours per resident per day in 2026Q1 — more than 13% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 200 beds and averages 168.4 residents a day — about 84% occupied, or roughly 32 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.91 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.79 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.19 is at or above 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 4.07 hrs/resident/day on weekends vs 5.26 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.90 to 0.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 24% is below the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

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.

31 citations, most serious first. The 14 most serious are shown; the remaining 17 are one tap away and print in full.

• Immediate jeopardy · K2021-05-02 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of policies and procedures, and of medical device and product user information, the facility failed to: A.) ensure the nursing staff cleaned and disinfected multi-use glucometers per the device manufacturer's instructions and per the Environmental Protection Agency (EPA)-registered (approved) disinfectant's instructions for use when performing fingerstick blood glucose (sugar) (FSBS) testing between residents. Specifically, five of five Licensed Practical Nurses, (LPN) 21, LPN22, LPN23, LPN25, and LPN26) on three of four units (Richmond, Bay Side, and Blue Ridge) failed to effectively clean and disinfect five of five glucometers used to perform FSBS testing for five of 30 sampled residents, (Resident (R) 4, R51, R82, R135, and R352), plus five supplemental residents, (R11, R79, R91, R112, and R199). All five nurses failed to clean and disinfect the used glucometers by not allowing the treated surfaces of the devices to remain visibly wet with 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
• Immediate jeopardy · J2021-05-02 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 495393_F578-IJ Based on interview, record review, and review of the facility's policy, the facility failed to ensure a resident's advance directive was executed per the resident's wishes related to code status for one of 47 sampled residents (Resident (R) 24). R24 formulated an advance directive prior to being admitted to the facility; however, the resident's family member signed a Do Not Resuscitate (DNR) form without being educated about the form or it's implications. This failure had the potential to affect all residents of the facility who had, or who wished to formulate an advance directive. On [DATE] at 3:55 PM, the facility's Assistant Administrator was notified and issued an Immediate Jeopardy at F578, the right to formulate an Advance Directive. It was determined the Immediate Jeopardy existed and began on [DATE] when the resident was admitted to the facility and his Advance Directive was not executed. The removal plan for the Immediate Jeopardy was accepted by the Virginia Office of Licensure 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2018-09-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident interview, staff interview, facility documentation review, and clinical record review the facility staff failed, for 1 resident (Resident #56) of the survey sample of 59 residents, to mitigate accident hazards to prevent burns. This resulted in harm. Resident #56 spilled hot coffee prepared by staff causing a second degree burn (harm). The facility failed to monitor hot liquid temperatures or assess the resident for hot liquid safety before and after the burn. The findings included: Resident #56 was admitted to the facility on [DATE]. Diagnoses for Resident #56 included but not limited to, congestive heart failure and high blood pressure. Resident #56's Minimum Data Set (an assessment protocol) with an Assessment Reference Date of 7-3-18 coded Resident #56 with a BIMS (brief interview of mental status) of 15 out of a possible 15, or no cognitive impairment. In addition, the Minimum Data Set coded Resident #56 requiring standby to limited assistance with ADL's (activities of daily…

  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
• Actual harm · G2018-09-12 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident interview, staff interview, facility documentation review, and clinical record review the facility staff failed, for one Resident, (Resident #56) of the survey sample of 59 residents, to ensure that hot liquids were served at a safe temperature, resulting in a second degree burn (harm). Resident #56 spilled hot coffee prepared by staff causing a second degree burn (harm). The facility failed to monitor hot liquid temperatures. The findings included: Resident #56 was admitted to the facility on [DATE]. Diagnoses for Resident #56 included but not limited to, congestive heart failure and high blood pressure. Resident #56's Minimum Data Set (an assessment protocol) with an Assessment Reference Date of 7-3-18 coded Resident #56 with a BIMS (brief interview of mental status) of 15 out of a possible 15, or no cognitive impairment. In addition, the Minimum Data Set coded Resident #56 requiring standby to limited assistance with ADL's (activities of daily living such as eating 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-06-05 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and facility document and policy review, the facility failed to ensure expired food items were discarded, food items were labeled with the date opened, and an industrial fan in the kitchen was free of dust. This failure created the potential for foodborne illness for 167 residents who received food from the kitchen of 170 residents who resided in the facility. Findings included: A facility policy titled, Food Items to Discard, updated 06/04/2025, indicated, It is the policy of [facility name] Nutrition Services Department to ensure that all food and foodservice items are properly received, labeled, stored, rotated, and discarded in accordance with federal, state, and local food safety regulations. No food item shall be stored past its expiration date, 'best by' date, or one year from the date of receipt if no manufacturer date is visible. The policy revealed, 5. Monitoring and Oversight: The Culinary Director or designee will: -Conduct weekly inspections of food storage areas. -Perform monthly inventory audits to ensure rotation and expiration…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-05 · tag F0908 — failed to keep essential equipment working — pattern
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and facility document review, the facility failed to ensure 4 of 4 washing machines were maintained in safe and proper working condition. Findings included: On 06/05/25 at 11:11 AM, Assistant Administrator B stated the facility did not have policies for maintenance of washing machines or submission of work orders to the maintenance department. An installation/operation/maintenance manual titled, Washer-Extractors, dated 12/2023, revealed a section titled Operator Daily Maintenance Checks that included instructions for the facility's model of washing machines. The manual specified, If the door lock and interlock are not functioning properly, disconnect power and call a qualified technician. 3. Do not attempt to operate the machine if any of the following conditions are present: a. The door does not remain securely locked during the entire cycle. During an observation of the laundry room on 06/04/2025 at 3:45 PM, Laundry Worker B added linens to washing machine #3. She placed a washcloth between the washing machine door and the associated washing…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-05 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and facility documentation the facility staff failed to ensure the reasonable accommodation of resident needs and preferences for 1 resident (#122) in a survey sample of 54 residents. The findings included: For Resident #122 the facility staff failed to ensure the large clock that is in the residents room was in working order. Resident #122 was admitted to the facility on [DATE] with diagnoses that included, but we're not limited to diabetes type two, major depressive disorder, diverticulitis, primary osteoarthritis, G.I. hemorrhage, atrial fibrillation, adjustment disorder with mixed anxiety and depression, and stage renal disease, hyperparathyroidism, anemia, malignant neoplasm of the prostate, pressure ulcer stage, four, hearing loss, hypertensive, heart, disease, and paraplegia. Resident number 122 most recent MDS coded the resident as having a BM (brief interview of mental status score of 15 out of 15 indicating no cognitive impairment. Resident # 122 required assistance of…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-05 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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, interview, clinical record review and facility documentation, the facility staff failed to ensure residents were free from chemical restraints for 2 Residents (#123 and #47) in a survey sample of 54 residents. 1. For Resident #123 the facility staff failed to ensure that the PRN order for the anxiolytic medication, Lorazepam, was not administered for more than 14 days without proper documentation of indication for usage and duration of therapy. Resident #123 was admitted to the facility on [DATE] Gout, Parkinsons disease, unspecified dementia with psychotic disturbance, neurocognitive disorder, major depressive disorder, insomnia visual hallucinations, benign prostatic hyperplasia, and vitreous degeneration. Resident #123's most recent BIMS (Brief Interview of Mental Status) score of 11/15 indicating moderate cognitive impairment. On 6/4/24 a review of the clinical record revealed that Resident #123 had medication orders including: Lorazepam Oral Tablet 0.5 MG Give 1 tablet by mouth every 4…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-05 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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, interview, clinical record review and facility documentation the facility staff failed to provide respiratory care according to professional standards of practice for 1 resident (#108) in a survey sample of 54 residents. The findings included: For Resident #108 the facilty staff failed to ensure the tubing and mask of the CPAP (Continuous Positive Airway Pressure) mask were properly covered and stored when not in use. Resident #108 was admitted to the facility on [DATE] with diagnoses that included, but we're not limited to aphasia following cerebral infarction, chronic kidney disease stage two, type two diabetes, Barrett's esophagus, nontraumatic, subarachnoid hemorrhage, history of cerebral infarction, and coronary arthrosclerosis due to lipid plaque. Resident #108's most recent MDS (Minimum Data Set) coded the resident as having a BIMS (Brief Interview of Mental Status) score of 11 out of 15 indicating moderate cognitive impairment. Resident #108 required assistance with all aspects of…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-09-06 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, clinical record review, and facility documentation review, the facility staff failed to ensure 1 of 3 sampled residents (resident #1) received care and services to prevent pressure ulcers from developing. The findings included: For Resident #1 the facility staff failed to implement interventions to prevent further pressure ulcers once the Resident acquired the first pressure ulcer. On 9/6/23 at 12:45 PM, Resident #1 was observed in bed with eyes closed on low bed, Prevalon boots in place, air mattress in place and functional. Resident #1 appeared to be sleeping, he appeared well groomed no offensive odors were noted he was dressed in clothing not a hospital gown. A review of the clinical record revealed that Resident #1 had a Braden score (an assessment tool used to predict the likelihood of developing pressure ulcers) of 14 indicating moderate risk for pressure areas on 6/22/23. On 6/20/23 a non-Pressure abrasion was noted, and reported and is still ongoing has not yet resolved. The document entitled Non-Pressure Skin Condition read: 6/20/23 2 cm x…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-05-02 · tag F0567 — failed to protect residents' money held by the home — pattern
  Honor the resident's right to manage his or her financial affairs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident and staff interviews, review of financial records pertaining to resident accounts, and review of the facility Resident Trust Fund Policy the facility failed ensure that one resident (Residents (R)57) of 47 sampled residents had access to his petty cash fund on weekends. This failure had the potential to impact all 112 residents for whom the facility manages personal fund accounts. Findings include: Interview with R57 on 04/27/21 at 2:56 PM revealed, when asked about access to his money in his patient account managed by the facility I can't get it on Sunday. They tell you to come back on Monday. The resident has a BIMS score of 15 (Brief Interview for Mental Status) on his most recent Minimum Data Set assessment dated [DATE]indicating the resident is cognitively intact and could be reliably interviewed. Review of the facility financial records for R57 revealed the resident routinely takes money out of his account, but not on weekends. Review of the facility policy entitled Resident Trust Fund…

  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 · E2021-05-02 · tag F0607 — failed to have anti-abuse policies — pattern
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident and staff interview, and review of facility polices, the facility failed to implement written policies and procedures that thoroughly address misappropriation of resident property. This failure placed all 153 residents in the facility at the time of the survey at an elevated risk for theft/misappropriation of their property. (Refer to F602-L) Findings include: 1.) On 04/27/21 at 10:00 AM an interview with R135 revealed that on 07/09/19 he reported to staff that his wedding ring was missing. R135 stated he remembered falling asleep with it in his possession: however, when he woke up it was gone. The resident became emotional and stated him and his wife had matching wedding rings. R135's Inventory of Personal Effects, dated 09/28/16, revealed his wedding ring was inventoried by the facility. Interview on 04/29/21 at 8:32 AM with the SSD revealed that R135 did report this ring missing. The SSD was asked if the missing ring was reported to the police or the State Agency (SA), she stated it 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-05-02 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, record review, policy review, and review of guidance from the Centers for Disease Control and Prevention (CDC), the facility failed to offer and administer the pneumococcal and /or influenza vaccination in a manner consistent with CDC recommendations and professional standards. The failure affected four of five residents (Resident (R)30, R82, R141and R352) reviewed for immunizations. This failure had the potential to increase the potential transmission of pneumonia and influenza for residents residing in the facility. Findings include: Review of the facility's undated policy titled Influenza Vaccine Program from the Pathway Health Services, Inc - Infection Control Manual 2019 directed This facility follows the recommendations of the Center for Disease Control and prevention (CDC) (add any and the State Department of Health-.recommendations) for Influenza vaccinations in the facility including each resident is offered an influenza vaccine October l through March 31 annually unless the…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2021-05-02 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor 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, interview, record review, and review of the facility's policy, the facility failed to promote and enhance each resident's dignity for one of 47 sampled residents (Resident (R) 94). Observation revealed in R94's room, four signs related to the resident's required personal care displayed on the closet and wall, in plain view. Findings include: Review of the facility's policy titled, Resident Rights, dated November 2007, revealed the policy did not address a procedure to enhance or promote residents' dignity. Review of the undated facility document titled, Residents' Rights in Nursing Homes, revealed .The law requires nursing homes to promote and protect the rights of each resident and places a strong emphasis on individual dignity and self-determination .The resident has the right to a dignified existence .Residents have a right to personal privacy in their accommodations, medical treatment .personal care . Review of R94's undated Transfer/Discharge Report [face sheet], located in 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 5 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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.

This home reported $857K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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