Our Lady Of Perpetual Help

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.

Staffing

How full it usually is: this home is certified for 30 beds and averages 27.0 residents a day — about 90% occupied, or roughly 3 beds typically open. It runs fairly full. 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the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026.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 4.15 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.80 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.56 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 3.88 hrs/resident/day on weekends vs 4.25 on weekdays — 9% thinner on weekends. RN hours go from 0.88 to 0.62 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%.

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.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

• Potential for harm · D2025-06-12 · 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

  Based on observation and staff interview, the facility's staff failed to maintain dignity during mealtime for 1 of 15 residents (Resident #13), in the survey sample. The findings included: Resident #13 was originally admitted to the facility 2/14/20 after an acute care hospital stay. The resident has never been discharged from the facility. The current diagnoses included; Alzheimer's Disease. The quarterly Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 04/02/25 coded the resident as not having the ability to complete the Brief Interview for Mental Status (BIMS). The staff interview was coded for long and short term memory problems as well as severely impaired for daily decision making. In sectionGG(Functional Abilities) the resident was coded as dependent with eating, oral hygiene, toileting hygiene, personal hygiene and shower/bathe self. On 06/10/25 at approximately 1:33 pm., Certified Nursing Assistant (CNA) #1 was observed standing while feeding Resident #13 during lunch. On 06/10/25 at 3:43 pm., a brief interview was conducted with CNA #1…

  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 plan of correction
• Potential for harm · D2025-06-12 · tag F0577 — isolated
  Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
  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, resident interviews, and staff interviews, the facility staff failed to post the most recent survey results in a place readily accessible to resi-dents, family members, and legal representatives of residents. The findings included: Resident Council interview was done on 6/11/25 at 11:00 AM. Inquired whether residents know where the results of the most recent State survey is located. Resi-dents were unaware of where to find the report to review. An interview was conducted on 6/11/25 at 11:50 AM with the Social Worker. The Social Worker stated that she does not know where the results of the most recent survey results are located in the facility. The Social Worker also stated that she has not educated the residents on the location of the facilities survey results during the monthly resident council meetings. During an observation tour on 6/11/25 at 12:00 PM a sign was observed in the fa-cility lobby that read: Our most recent survey results are inside the labeled book-case drawer located next…

  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 plan of correction
• Potential for harm · D2025-06-12 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, clinical record review, and review of facility documents, the facility's staff failed to ensure professional standards of quality for were followed for 1 of 15 residents (Resident #5), in the survey sample. The findings included: The facility staff failed to check Resident #5s Blood Pressure (bp) prior to administering a prescribed dose of Furosemide 20 mg on 6/11/25 at 4:35 pm. Resident #5 was originally admitted to the facility 12/27/24 and readmitted [DATE] after an acute care hospital stay. The resident has never been discharged from the facility. The current diagnoses included; Acute or Chronic Diastolic Congestive Heart Failure. The quarterly, Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 03/26/25 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 5 out of a possible 15. This indicated Resident #5 cognitive abilities for daily decision making were severely impaired. The Care Plan dated 3/25/25 read…

  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 plan of correction
• Potential for harm · F2021-10-14 · tag F0838 — failed to assess facility resources and resident needs — widespread
  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview and the facility document review, the facility staff failed to document an ongoing facility wide risk assessment to include their current population of two (2) COVID-19 residents. The findings included: The facility had an outbreak of COVID-19 in the facility starting on 08/18/21. Resident cumulative COVID-19 cases totaled nine (9) with three (3) COVID-19 related deaths. Staff cumulative COVID-19 cases totaled ten (10), all staff recovered and no deaths. At the time of the survey, there were two (2) residents that were currently positive for COVID-19. The facility provided a document titled Infection Control Assessment and Response (ICAR) recommendation report dated 09/30/21 from the Virginia Beach Epidemiologist. The document included but not limited to the following information: work with Virginia Department of Health (VDH) to conduct Train the Trainer exercises to increase the proportion of N-95 fit-tested employees, discontinue the re-use of mask while outside of crisis strategy and discontinue use of red biohazard bags for COVID-19…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-10-14 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, staff interviews, facility documentation, and review of the facility's policy; the facility staff failed to review and revise the person-centered care plan as each resident's condition changed for two of 19 residents (Resident #20 and #6) in the survey sample. The findings included: 1. The facility staff failed to review and revise Resident #20's person-centered care plan to include Hospice services and use oxygen (O2). Resident #20 was originally admitted to the facility 1/27/20 and readmitted [DATE] after an acute care hospital stay beginning 9/19/21. The current diagnoses included; COPD, COVID-19 diabetes and renal insufficiency. The quarterly Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 7/21/21 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 15 out of a possible 15. This indicated Resident #20's cognitive abilities for daily decision making were intact. Review of the clinical record revealed a…

  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 · Ecited before2021-10-14 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, clinical record review, staff interviews and facility document review the facility staff failed to apply bilateral hand rolls for 8 days for 1 of 19 residents in the survey sample with severe hand contractures, Resident #11. The findings included: Resident #11 was admitted to the facility on [DATE] with diagnoses to included but not limited to Bilateral Upper Extremity Contractures, Alzheimer's Disease and Osteoporosis. Resident #11's most recent Minimum Data Set (MDS) was a Quarterly with an Assessment Reference Date (ARD) of 8/25/21. The Brief Interview for Mental Status (BIMS) was not completed because the resident was coded as rarely or never understood. Resident #11 was coded as having long and short term memory problems and severely impaired for task of daily living. Under Section G Functional Status G0400. Functional Limitation in Range of Motion Resident #11 was coded as having Upper Extremity Impairment on both sides. On 10/13/21 at 10:37 a.m., Resident #11 was observed in a…

  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 · E2021-10-14 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, and review of facility documents, the facility staff failed to ensure at least once a month a Licensed Pharmacist conduct a monthly Medication Regimen Review (MMR) for 5 of 19 residents (Resident #20, 13, 4, 6, and 2), in the survey sample. The findings included: 1. The facility staff failed to ensure Resident #20's drug regimen was reviewed at least once a month by a licensed pharmacist. Resident #20 was originally admitted to the facility 1/27/20 and readmitted [DATE] after an acute care hospital stay beginning 9/19/21. The current diagnoses included; COPD, COVID-19, diabetes and renal insufficiency. The quarterly Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 7/21/21 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 15 out of a possible 15. This indicated Resident #20's cognitive abilities for daily decision making were intact. The twelve month Pharmacist review for Resident #20 revealed an…

  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 · E2021-10-14 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record reviews, staff interviews and facility documentation, the facility staff failed to do a Gradual Dose Reduction (GDR) for 1 out of 19 residents, Resident #6 in the survey sample who was receiving a PRN (as needed) psychotropic medication (Xanax). The findings included: The facility staff failed to ensure an as needed psychotropic medication (Xanax) was limited to 14 days for Resident #6. The physician or Nurse Practitioner (NP) did not do an evaluation of Resident #6 to extend the psychotropic medication pass 14 days without documenting the rational and duration in the resident's medical record. Resident #8 was admitted to the nursing facility on 01/25/21. Diagnosis for the resident included but not limited to Depression. Resident #8's Minimum Data Set (MDS-an assessment protocol) a quarter assessment with an Assessment Reference Date of 09/22/21 coded Resident #8's Brief Interview for Mental Status (BIMS) scored a 14 out of a possible score of 15 indicating no cognitive impairment for daily decision-making. The MDS coded the resident extensive 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-10-14 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, clinical record review, staff interviews and facility document review the facility staff failed to ensure an accurate medical record for 1 of 19 residents in the survey sample to include applying and removing bilateral hand rolls for 8 days with severe hand contractures, Resident #11. The findings included: Resident #11 was admitted to the facility on [DATE] with diagnoses to included but not limited to Bilateral Upper Extremity Contractures, Alzheimer's Disease and Osteoporosis. Resident #11's most recent Minimum Data Set (MDS) was a Quarterly with an Assessment Reference Date (ARD) of 8/25/21. The Brief Interview for Mental Status (BIMS) was not completed because the resident was coded as rarely or never understood. Resident #11 was coded as having long and short term memory problems and severely impaired for task of daily living. Under Section G Functional Status G0400. Functional Limitation in Range of Motion Resident #11 was coded as having Upper Extremity Impairment on both sides. On…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-10-14 · tag F0638 — isolated
  Assure that each resident’s assessment is updated at least once every 3 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interviews, the facility's staff failed to complete a quarterly Minimum Data Set (MDS) assessment at least every 92 days for one of 19 residents (Resident 5), in the survey sample. The findings included; Resident #5 was originally admitted to the facility 3/25/21 and the resident had never been discharged from the facility. The current diagnoses included; dementia, an anxiety disorder and hypothyroidism. The significant Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 5/12/21 coded the resident as not having the ability to complete the Brief Interview for Mental Status (BIMS). The staff interview was coded for long and short term memory problems as well as severely impaired for daily decision making. During the course of the survey 10/12/21 through 10/14/21, Resident #5's clinical record was reviewed. The most recent MDS assessment completed for the resident was a significant change assessment with an assessment reference date (ARD) of 5/12/21. On 10/14/21 at approximately 2:40 p.m., an interview was conducted…

  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

“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