B+
84/100

Hiram W Davis Medical Ctr Inspection Report, Violations & Safety Grade (PETERSBURG, Virginia)

26317 WEST WASHINGTON STREET, PETERSBURG, Virginia 23803

Phone: 8045247420

CMS Overall:4/5

Overview & Bed Count

Certified Beds
90
Avg Residents/Day
27.4
Ownership
Government - State
Provider Type
Medicare and Medicaid
County
Petersburg City
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing4/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityVirginia AvgDifference
RN Hours per Resident per Day4.960.71+4.25
Total Nurse Hours per Resident per Day11.583.88+7.71
CMS Staffing Rating4/52.5/5-
Nursing Staff TurnoverN/A47.5%-

Health Citation History

22 health citations on record

DateCategoryDescriptionSeverity
2026-02-12Pharmacy 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
2026-02-12Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2026-02-12Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-02-12Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-02-12Resident 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
2022-03-17Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2022-03-17Infection Control DeficienciesPerform COVID19 testing on residents and staff.E – Moderate Harm Potential
2022-03-17Infection Control DeficienciesEnsure staff are vaccinated for COVID-19D – Moderate Harm Potential
2022-03-17Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.C – Minimal Harm Potential
2019-03-28Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2019-03-28Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2019-03-28Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2019-03-28Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2019-03-28Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2019-03-28Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2019-03-28Resident 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
2019-03-28Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2019-03-28Pharmacy 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.D – Moderate Harm Potential
2019-03-28Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2019-03-28Pharmacy 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
2019-03-28Resident 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
2019-03-28Environmental DeficienciesKeep all essential equipment working safely.D – Moderate Harm Potential

Fire Safety Citation History

19 fire safety citations on record

DateCategoryDescriptionSeverity
2026-02-12Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2022-03-17Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2022-03-17Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2022-03-17Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2022-03-17Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2022-03-17Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2022-03-17Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2022-03-17Services DeficienciesHave elevators that firefighters can control in the event of a fire.E – Moderate Harm Potential
2022-03-17Miscellaneous DeficienciesProvide a written emergency evacuation plan.E – Moderate Harm Potential
2022-03-17Gas, Vacuum, and Electrical Systems DeficienciesEnsure medical gas and vacuum systems have documented maintenance programs.E – Moderate Harm Potential
2022-03-17Construction DeficienciesUse approved construction type or materials.D – Moderate Harm Potential
2022-03-17Smoke DeficienciesHave properly installed hallway dispensers for alcohol-based hand rub.D – Moderate Harm Potential
2022-03-17Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2019-03-28Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2019-03-28Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2019-03-28Egress DeficienciesMeet other general requirements that are deficient.D – Moderate Harm Potential
2019-03-28Smoke DeficienciesHave an enclosure around a vertical opening shaft.D – Moderate Harm Potential
2019-03-28Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2019-03-28Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – 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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