Northern Neck Senior Care Community

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.

62.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 179 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 77.5% 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 71 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 0.19 therapist hours per resident per day in 2026Q1 — more than 20% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 24% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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 80 beds and averages 76.9 residents a day — about 96% 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 3.31 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.00 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 2.88 hrs/resident/day on weekends vs 3.49 on weekdays — 17% thinner on weekends. RN hours go from 0.49 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above 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.

This trend is not current. The most recent of these two inspections was over 3 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

• Potential for harm · D2023-08-01 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 report an allegation of abuse to Adult Protective Services for 1 of 2 allegations of abuse reviewed. The findings included: For two Residents involved in an altercation resulting in one of the Residents being slapped in the face, the facility staff failed to report the incident of abuse to adult protective services. On 8/1/23, the survey team reviewed facility records with regards to Resident allegations of abuse and/or neglect. During this review, it was noted that on 6/26/23, there was an incident involving two Residents which resulted in one of the Residents slapping the other in the face. The facility provided a form that was completed with regards to the incident and an excerpt from the document read, If applicable, date notification provided to: APS: N/A [adult protective services: not applicable]. On the afternoon of 8/1/23, an interview was conducted with the facility Administrator. The Administrator stated that all allegations of abuse are to be reported to adult protective services.…

  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 · Dcited before2023-08-01 · 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 interview, clinical record review and facility documentation the facility staff failed to provide necessary services to maintain good nutrition, grooming, and personal and oral hygiene, for 1 Resident (#1) in a survey sample of 9 Residents. The findings included: For Resident #1 the facility failed to provide adequate hygiene and incontinent care. Resident #1 was a Resident at the facility from 3/22/23 until 4/20/23, she was at the facility for rehabilitation after a post fall fractured hip. Resident #1 had a BIMS (Brief Interview of Mental Status) score of 3 out of a possible 15 indicating severe cognitive impairment. A review of the Clinical record revealed that Resident #1 was incontinent of bowel and bladder. A review of the ADL (Activity of Daily Living) sheets in the POC (Point of Care) system revealed that Resident #1 was not charted or documented on by CNA's from 03/22/23 until 3/27/23. On 8/01/23 at 10 AM, an interview was conducted with the DON who was asked when a Resident is admitted how long is it before the care is documented in POC (Point of Care the CNA…

  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 · D2023-08-01 · tag F0791 — failed to provide routine dental services — isolated
  Provide or obtain dental services for 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 interview clinical record review and facility documentation the facility staff failed to provide emergency dental services for 1 Resident (#1) in a survey sample of 9 Residents. The findings included For Resident #1 the facility failed to provide emergency dental services to replace denture lost at the facility, and subsequently changed her diet to chopped to accommodate the missing bottom denture. On 7/31/23, a review of the clinical record revealed that Resident #1 was admitted to the facility with a top and bottom denture in place. According to the admission Assessment the Resident had upper and lower denture and wears all the time. Also, on an assessment dated [DATE] the diet was listed as, Regular diet, regular consistency, regular thin liquids. Swallowing problem? No. A review of the Physician orders revealed that on 3/24/23 at 5:57 PM the diet order was changed as follows: Regular diet, Mechanical Chopped texture, Regular/Thin consistency for family request; no denture The following is an excerpt…

  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 · Ecited before2023-03-16 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and facility documentation review, the facility staff failed to store medications in accordance with currently accepted professional principles in 1 of 1 medication room inspected. The findings included: 1. The facility staff failed to ensure medications and supplies stored in the medication room were not expired in 1 of 1 medication rooms inspected. On [DATE] at 10:22 AM, the medication room on the Dogwood unit was inspected in the presence of LPN F. The following items were noted to be available for facility staff's use and were expired: Vacuette Safety Blood collection set + Luer Adapter. Four (4) boxes, 50 count each for a total of 200, were all noted to be expired. The various expiration dates on each box were: [DATE], [DATE], [DATE], and [DATE]. Mantacc: Miraclean Technology Co. Disposable sampling swab, 7 of 7 on-hand were expired. with an expiration date of [DATE]. There was a single BD Bactec Lytic/10 anaerobic culture vial, 40 ml, that expired [DATE], There was 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-03-16 · 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, interview, clinical record review and facility documentation the facility staff failed to care for Residents with dignity and respect for 1 Resident (#3) in a survey sample of 31 Residents. The findings include: For Resident #3 the facility staff failed to cover the urine drainage system bag. On 3/14/23 the following observations were made: 8:45 AM, Resident was observed in his room, the door was open, and the Resident privacy curtain was open. Resident #3 was in bed, urine drainage system bag (Foley bag) was uncovered and attached to the side of the bed visible from the hallway. 11:45 AM, Resident #3 was observed in his room sitting up in the wheelchair urine drainage bag uncovered and hanging on side of the wheelchair. On 3/14/23 at 12:15 PM, an interview was conducted with Resident #3 who stated that A lot of times they forget to put the cover over the drainage bag. On 3/14/23 at 12:00 PM, an interview was conducted with CNA B who stated that the Foley bag should have a dignity bag to cover it even if they are in their room. On 3/15/23 an interview was…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-03-16 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, clinical record review, and facility documentation, the facility staff failed to immediately notify the resident representative when there was a significant change in the Resident's condition for 1 Resident (#375) in a survey sample of 31 Residents. The findings included: For Resident #375 the facility staff failed to immediately notify the Resident Representative when Resident #375 tested COVID positive. On 3/15/23 at 3:00 PM, a review of the clinical record revealed that Resident #375 was seen by the Nurse Practitioner (NP) on 2/22/23 and a COVID test was ordered due to cough and respiratory symptoms. The clinical record contained a document entitled Covid 19 Rapid Test Site Result Data Form, excerpts are as follows: Lab Result Information Date Specimen Collected: 2-22-23 Specimen Source: Nares Performing Facility: [name redacted] Test Type: Rapid. Test Result Date: 2-22-23 Result (circle): Negative Patient is informed of results: Yes. Ordering Provider [ name redacted.] Comments: RR made…

  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 · D2023-03-16 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview and clinical record review, the facility staff failed to review and revise the care plan for 2 (Resident #19 & #3) of 31 sampled residents. The findings include: 1. For Resident #19 the facility staff failed to review and revise the care plan after each fall. On 3/15/23 a review of the clinical record revealed that Resident #19 had post fall Morse Fall Risk Assessments on 2 occasions, 3/16/22 and again on 12/22/22. The Resident scored a 55 on both assessments. (Please note a score > 45 is high fall risk) A review of the care plan read: FOCUS [Resident #19 name redacted] has a diagnosis of Parkinson's, dementia, Bipolar, anxiety, MDD [major depressive disorder] and osteoporosis. She utilizes assistance with ADL, exhibits with incontinence and utilizes antidepressants. date initiated 9/26/22. revision 12/23/22 Fall 12/22 GOAL Resident will be free of falls through the review date initiated 9/26/22 revision on 9/27/22 Target date 5/7/23. Interventions MD / NP to evaluate medications date initiated 12/23/22. Be sure the resident's call light is within reach 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-03-16 · 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 facility documentation, the facility staff failed to follow standards of nursing practice for 2 Residents (Resident #70 & #19) in a survey sample of 31 Residents. The findings included: 1. For Resident #70, the facility staff failed to administer medications, that were available for administration, as ordered by the physician. On 3/14/23 at 7:47 AM, LPN C was observed during medication administration of Resident #70's medication. LPN C administered the following medications to Resident #70, Eliquis/Apixaban, Losartan, Tamsulosin/Flomax, Miralax, Thiamin Mononitrate, multiple vitamin, and Levetiracetam/Keppra. Prednisone and Ativan were not administered to the Resident. Review of the clinical record of Resident #70 was conducted. This review revealed Resident #70 had physician orders dated 3/14/23, that read, Prednisone Tablet- Give 40 mg by mouth one time a day for pain for 7 Days and an order that read, Ativan Oral Tablet 0.5 MG (Lorazepam) Give…

  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 · D2023-03-16 · 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

  Based on observation, staff interview, resident interview and clinical record review, the facility staff failed to provide respiratory care consistent with professional standards of practice for one Resident (Resident # 53) in a survey sample of 31 residents. Findings included: On initial tour on 3/13/2023 at 7:45 a.m., on Resident # 53's nightstand, a plastic bag with CPAP (Continuous Positive Airway Pressure) tubing and mask inside were observed with the date 2-6-23 on the outside of the bag. Resident # 91 was asked what was in the plastic bag. Resident # 53 stated it was her CPAP. When asked how often the CPAP was used, Resident # 91 stated she used it every night. Resident # 91 also stated If I don't use it, I won't be able to sleep Review of the clinical record revealed an order for BiPAP. The order read: (Bi-level Positive Airway Pressure) BI-PAP - WHILE SLEEPING WITH THE FOLLOWING SETTINGS: USE HOME SETTINGS at bedtime for AIRWAY PATENCY/ COPD OSA (Chronic Obstructive Pulmonary Disease/Obstructive Sleep Apnea). On 3/15/2023 at approximately 3:10 p.m., the Director of Nursing…

  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 · D2023-03-16 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, clinical record review and facility documentation the facility staff failed to provide routine drugs and biologicals to meet the needs of 1 Resident (#19) in a survey sample of 31 Residents. The findings included: For Resident # 19 the facility staff failed to obtain and administer Marinol (a cannabis derivative used for appetite stimulation as well as for nausea), causing Resident #19 to miss 7 doses of her ordered medication. On 3/15/23, during a clinical record review, it was found that Resident #19 had issues with weight loss. The Resident had been followed by the Dietician and the Nurse Practitioner for this issue. A review of the NP notes revealed that on 12/21/22, the Nurse Practitioner saw Resident #19 due to weight loss. This Resident had been ordered supplements prior to this date and continued to lose weight. The NP prescribed Marinol 2.5 mg before lunch and before dinner for appetite stimulation. On 3/15/23 during clinical a review of the progress notes the following notes were found regarding the order for Marinol 2.5 mg: 12/22/22 at 8:58 AM -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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

5 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.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. 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, FY2023). 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