NORTHERN CARDINAL REHABILITATION AND NURSING Inspection Report, Violations & Safety Grade (SUFFOLK, Virginia)

4775 BRIDGE ROAD, SUFFOLK, Virginia 23435

Phone: 7576860488

CMS Overall:1/5

Overview & Bed Count

Certified Beds

120

Avg Residents/Day

107.1

Ownership

For profit - Corporation

Provider Type

Medicare and Medicaid

County

Suffolk City

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall1/5

Health2/5

Staffing1/5

Quality3/5

Nurse Staffing Check

Metric	This Facility	Virginia Avg	Difference
RN Hours per Resident per Day	0.52	0.71	-0.19
Total Nurse Hours per Resident per Day	3.17	3.88	-0.71
CMS Staffing Rating	1/5	2.5/5	-
Nursing Staff Turnover	74.8%	47.5%	-

Health Citation History

45 health citations on record

Date	Category	Description	Severity
2025-01-08	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential
2023-04-14	Resident Rights Deficiencies	Honor 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.	E – Moderate Harm Potential
2023-04-14	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	E – Moderate Harm Potential
2023-04-14	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E – Moderate Harm Potential
2023-04-14	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E – Moderate Harm Potential
2023-04-14	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E – Moderate Harm Potential
2023-04-14	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2023-04-14	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	E – Moderate Harm Potential
2023-04-14	Resident Rights Deficiencies	Notify 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
2023-04-14	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential
2023-04-14	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D – Moderate Harm Potential
2023-04-14	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2023-04-14	Pharmacy Service Deficiencies	Ensure 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
2023-04-14	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D – Moderate Harm Potential
2023-04-14	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential
2023-04-14	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D – Moderate Harm Potential
2023-04-14	Infection Control Deficiencies	Report COVID19 data to residents and families.	D – Moderate Harm Potential
2023-04-14	Infection Control Deficiencies	Educate 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
2019-10-03	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E – Moderate Harm Potential
2019-10-03	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D – Moderate Harm Potential
2019-10-03	Resident Assessment and Care Planning Deficiencies	Develop 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
2019-10-03	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D – Moderate Harm Potential
2019-10-03	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D – Moderate Harm Potential
2019-10-03	Quality of Life and Care Deficiencies	Provide 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
2019-10-03	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D – Moderate Harm Potential
2019-10-03	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential
2019-10-03	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	D – Moderate Harm Potential
2018-03-19	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J – Immediate Jeopardy
2018-03-19	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E – Moderate Harm Potential
2018-03-19	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	E – Moderate Harm Potential
2018-03-19	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2018-03-19	Resident Rights Deficiencies	Allow resident to participate in the development and implementation of his or her person-centered plan of care.	D – Moderate Harm Potential
2018-03-19	Resident Rights Deficiencies	Immediately 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
2018-03-19	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D – Moderate Harm Potential
2018-03-19	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D – Moderate Harm Potential
2018-03-19	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2018-03-19	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential
2018-03-19	Resident Rights Deficiencies	Notify 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
2018-03-19	Resident Assessment and Care Planning Deficiencies	Develop 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
2018-03-19	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2018-03-19	Quality of Life and Care Deficiencies	Provide appropriate foot care.	D – Moderate Harm Potential
2018-03-19	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D – Moderate Harm Potential
2018-03-19	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D – Moderate Harm Potential
2018-03-19	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D – Moderate Harm Potential
2018-03-19	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential

Fire Safety Citation History

25 fire safety citations on record

Date	Category	Description	Severity
2023-04-14	Egress Deficiencies	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	E – Moderate Harm Potential
2023-04-14	Smoke Deficiencies	Install a fire alarm system that can be heard throughout the facility.	E – Moderate Harm Potential
2023-04-14	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	E – Moderate Harm Potential
2023-04-14	Miscellaneous Deficiencies	Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.	E – Moderate Harm Potential
2023-04-14	Miscellaneous Deficiencies	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	E – Moderate Harm Potential
2023-04-14	Gas, Vacuum, and Electrical Systems Deficiencies	Have a battery powered remote alarm panel in a location accessible by operating personnel.	E – Moderate Harm Potential
2023-04-14	Egress Deficiencies	Meet other general requirements.	D – Moderate Harm Potential
2019-10-03	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2019-10-03	Smoke Deficiencies	Provide properly protected cooking facilities.	D – Moderate Harm Potential
2019-10-03	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	D – Moderate Harm Potential
2019-10-03	Smoke Deficiencies	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	D – Moderate Harm Potential
2019-10-03	Gas, Vacuum, and Electrical Systems Deficiencies	Have a battery powered remote alarm panel in a location accessible by operating personnel.	D – Moderate Harm Potential
2018-03-19	Egress Deficiencies	Install emergency lighting that can last at least 1 1/2 hours.	F – Moderate Harm Potential
2018-03-19	Egress Deficiencies	Have properly located and lighted "Exit" signs.	F – Moderate Harm Potential
2018-03-19	Gas, Vacuum, and Electrical Systems Deficiencies	Have power receptacles that are properly grounded.	F – Moderate Harm Potential
2018-03-19	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	D – Moderate Harm Potential
2018-03-19	Gas, Vacuum, and Electrical Systems Deficiencies	Meet requirements for the use of electrical equipment.	D – Moderate Harm Potential
2018-03-19	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	D – Moderate Harm Potential
2018-03-19	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	D – Moderate Harm Potential
2018-03-19	Emergency Preparedness Deficiencies	Establish policies and procedures for volunteers.	C – Minimal Harm Potential
2018-03-19	Emergency Preparedness Deficiencies	Establish roles under a Waiver declared by secretary.	C – Minimal Harm Potential
2018-03-19	Emergency Preparedness Deficiencies	Provide emergency officials' contact information.	C – Minimal Harm Potential
2018-03-19	Emergency Preparedness Deficiencies	Provide primary/alternate means for communication.	C – Minimal Harm Potential
2018-03-19	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	C – Minimal Harm Potential
2018-03-19	Emergency Preparedness Deficiencies	Meet the requirements of an integrated health system.	C – Minimal Harm Potential

Total Penalties & Fines

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

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Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the SUFFOLK area at no cost.

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(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.