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Lee Health And Rehab Center Inspection Report, Violations & Safety Grade (PENNINGTON GAP, Virginia)

208 HEALTH CARE DRIVE, PENNINGTON GAP, Virginia 24277

Phone: 2765464566

CMS Overall:5/5

Overview & Bed Count

Certified Beds
110
Avg Residents/Day
106.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Lee
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityVirginia AvgDifference
RN Hours per Resident per Day0.460.71-0.25
Total Nurse Hours per Resident per Day3.573.88-0.31
CMS Staffing Rating3/52.5/5-
Nursing Staff Turnover41.5%47.5%-

Health Citation History

7 health citations on record

DateCategoryDescriptionSeverity
2026-04-08Resident 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
2025-03-06Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-03-06Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2022-06-02Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2020-01-09Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2020-01-09Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2020-01-09Pharmacy 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

Fire Safety Citation History

8 fire safety citations on record

DateCategoryDescriptionSeverity
2022-06-02Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2022-06-02Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2022-06-02Egress DeficienciesHave exits that are accessible at all times.E – Moderate Harm Potential
2022-06-02Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2022-06-02Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2022-06-02Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2022-06-02Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2022-06-02Gas, Vacuum, and Electrical Systems DeficienciesHave a battery powered remote alarm panel in a location accessible by operating personnel.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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