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OLD DOMINION REHABILITATION AND NURSING Inspection Report, Violations & Safety Grade (NEWPORT NEWS, Virginia)

4 RIDGEWOOD PARKWAY, NEWPORT NEWS, Virginia 23602

Phone: 7578866500

CMS Overall:2/5

Overview & Bed Count

Certified Beds
115
Avg Residents/Day
98.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Newport News City
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
Yes

CMS Star Ratings

Overall2/5
Health1/5
Staffing1/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityVirginia AvgDifference
RN Hours per Resident per Day0.440.71-0.27
Total Nurse Hours per Resident per Day3.333.88-0.55
CMS Staffing Rating1/52.5/5-
Nursing Staff Turnover65.7%47.5%-

Health Citation History

62 health citations on record

DateCategoryDescriptionSeverity
2026-05-07Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2026-02-20Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K – Immediate Jeopardy
2026-02-20Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.G – Actual Harm
2026-02-20Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2026-02-20Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E – Moderate Harm Potential
2026-02-20Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E – Moderate Harm Potential
2026-02-20Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2026-02-20Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2026-02-20Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2026-02-20Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2026-02-20Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-02-20Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2026-02-20Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D – Moderate Harm Potential
2026-02-20Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2026-02-20Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D – Moderate Harm Potential
2026-02-20Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.D – Moderate Harm Potential
2022-03-03Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2022-03-03Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.E – Moderate Harm Potential
2022-03-03Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.E – Moderate Harm Potential
2022-03-03Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E – Moderate Harm Potential
2022-03-03Pharmacy Service DeficienciesImplement 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.E – Moderate Harm Potential
2022-03-03Administration DeficienciesKeep complete, dated laboratory records in the resident's record.E – Moderate Harm Potential
2022-03-03Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2022-03-03Infection Control DeficienciesImplement a program that monitors antibiotic use.E – Moderate Harm Potential
2022-03-03Infection Control DeficienciesPerform COVID19 testing on residents and staff.E – Moderate Harm Potential
2022-03-03Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2022-03-03Resident Rights DeficienciesHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D – Moderate Harm Potential
2022-03-03Resident Rights DeficienciesHonor the resident's right to manage his or her financial affairs.D – Moderate Harm Potential
2022-03-03Resident Rights DeficienciesProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.D – Moderate Harm Potential
2022-03-03Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2022-03-03Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2022-03-03Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D – Moderate Harm Potential
2022-03-03Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D – Moderate Harm Potential
2022-03-03Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2022-03-03Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2022-03-03Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2022-03-03Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2022-03-03Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2022-03-03Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2022-03-03Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2022-03-03Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.D – Moderate Harm Potential
2022-03-03Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2022-03-03Nutrition and Dietary DeficienciesProvide special eating equipment and utensils for residents who need them and appropriate assistance.D – Moderate Harm Potential
2022-03-03Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.D – Moderate Harm Potential
2022-03-03Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.D – Moderate Harm Potential
2022-03-03Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D – Moderate Harm Potential
2022-03-03Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyC – Minimal Harm Potential
2019-03-01Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2019-03-01Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2019-03-01Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.E – Moderate Harm Potential

Showing 50 of 62 citations.

Fire Safety Citation History

46 fire safety citations on record

DateCategoryDescriptionSeverity
2026-02-20Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2026-02-20Smoke DeficienciesEnsure that periodic evaluations are made of hazards that could be encountered during surgical procedures, and fire prevention procedures are established.E – Moderate Harm Potential
2026-02-20Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2026-02-20Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2026-02-20Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential
2026-02-20Smoke DeficienciesMeet other general requirements.D – Moderate Harm Potential
2022-03-03Egress DeficienciesInstall proper backup exit lighting.D – Moderate Harm Potential
2022-03-03Miscellaneous DeficienciesMeet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.D – Moderate Harm Potential
2022-03-03Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.D – Moderate Harm Potential
2022-03-03Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential
2022-03-03Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2022-03-03Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesDevelop Emergency Preparedness policies and procedures.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesEstablish procedures for tracking staff and patients during an emergency.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesEstablish policies and procedures for medical documentation.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesList the names and contact information of those in the facility.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesProvide emergency officials' contact information.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesProvide primary/alternate means for communication.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesEstablish methods for sharing information.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesProvide a means of sharing information on occupancy/needs.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesProvide family notifications of emergency plan.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesEstablish emergency prep training and testing.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesEstablish staff and initial training requirements.C – Minimal Harm Potential
2022-03-03Emergency Preparedness DeficienciesConduct testing and exercise requirements.C – Minimal Harm Potential
2019-03-01Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2019-03-01Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.E – Moderate Harm Potential
2019-03-01Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.C – Minimal Harm Potential
2019-03-01Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.C – Minimal Harm Potential
2019-03-01Emergency Preparedness DeficienciesEstablish procedures for tracking staff and patients during an emergency.C – Minimal Harm Potential
2019-03-01Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.C – Minimal Harm Potential
2019-03-01Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.C – Minimal Harm Potential
2019-03-01Emergency Preparedness DeficienciesEstablish policies and procedures for medical documentation.C – Minimal Harm Potential
2019-03-01Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.C – Minimal Harm Potential
2019-03-01Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.C – Minimal Harm Potential
2019-03-01Emergency Preparedness DeficienciesList the names and contact information of those in the facility.C – Minimal Harm Potential
2019-03-01Emergency Preparedness DeficienciesEstablish methods for sharing information.C – Minimal Harm Potential
2019-03-01Emergency Preparedness DeficienciesProvide family notifications of emergency plan.C – Minimal Harm Potential
2019-03-01Emergency Preparedness DeficienciesEstablish emergency prep training and testing.C – Minimal Harm Potential
2019-03-01Emergency Preparedness DeficienciesEstablish staff and initial training requirements.C – Minimal Harm Potential

Total Penalties & Fines

$368,040
Total Fine Amount (CMS)
1
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2026-02-20Fine$368,040-
2026-02-20Payment Denial-27 days starting 2026-05-23

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