THALIA GARDENS REHABILITATION AND NURSING Inspection Report, Violations & Safety Grade (VIRGINIA BEACH, Virginia)

4142 BONNEY ROAD, VIRGINIA BEACH, Virginia 23452

Phone: 7573400620

CMS Overall:1/5

Overview & Bed Count

Certified Beds

138

Avg Residents/Day

107.9

Ownership

For profit - Corporation

Provider Type

Medicare and Medicaid

County

Virginia Beach City

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall1/5

Health1/5

Staffing1/5

Quality4/5

Nurse Staffing Check

Metric	This Facility	Virginia Avg	Difference
RN Hours per Resident per Day	0.74	0.71	+0.04
Total Nurse Hours per Resident per Day	3.65	3.88	-0.23
CMS Staffing Rating	1/5	2.5/5	-
Nursing Staff Turnover	67.2%	47.5%	-

Health Citation History

66 health citations on record

Date	Category	Description	Severity
2026-04-28	Resident Rights Deficiencies	Honor 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.	F – Moderate Harm Potential
2026-04-28	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.	F – Moderate Harm Potential
2026-04-28	Administration Deficiencies	Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.	F – Moderate Harm Potential
2026-04-28	Administration Deficiencies	Have a plan that describes the process for conducting QAPI and QAA activities.	F – Moderate Harm Potential
2026-04-28	Administration Deficiencies	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	F – Moderate Harm Potential
2026-04-28	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.	F – Moderate Harm Potential
2026-04-28	Administration Deficiencies	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.	F – Moderate Harm Potential
2026-04-28	Administration Deficiencies	Provide behavior health training consistent with the requirements and as determined by a facility assessment.	F – Moderate Harm Potential
2026-04-28	Resident Rights Deficiencies	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	E – Moderate Harm Potential
2026-04-28	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E – Moderate Harm Potential
2026-04-28	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	E – Moderate Harm Potential
2026-04-28	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Not hire anyone with a finding of abuse, neglect, exploitation, or theft.	E – Moderate Harm Potential
2026-04-28	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
2026-04-28	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
2026-04-28	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	E – Moderate Harm Potential
2026-04-28	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
2026-04-28	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	E – Moderate Harm Potential
2026-04-28	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	E – Moderate Harm Potential
2026-04-28	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E – Moderate Harm Potential
2026-04-28	Administration Deficiencies	Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.	E – Moderate Harm Potential
2026-04-28	Resident Rights Deficiencies	Give residents a notice of rights, rules, services and charges.	D – Moderate Harm Potential
2026-04-28	Resident Rights Deficiencies	The resident has the right to receive notices in a format and a language he or she understands.	D – Moderate Harm Potential
2026-04-28	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
2026-04-28	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D – Moderate Harm Potential
2026-04-28	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D – Moderate Harm Potential
2026-04-28	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
2026-04-28	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D – Moderate Harm Potential
2026-04-28	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential
2026-04-28	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
2026-04-28	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2026-04-28	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
2022-06-09	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G – Actual Harm
2022-06-09	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	F – Moderate Harm Potential
2022-06-09	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E – Moderate Harm Potential
2022-06-09	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
2022-06-09	Resident Rights Deficiencies	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	D – Moderate Harm Potential
2022-06-09	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.	D – Moderate Harm Potential
2022-06-09	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D – Moderate Harm Potential
2022-06-09	Resident Rights Deficiencies	Honor 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.	D – Moderate Harm Potential
2022-06-09	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.	D – Moderate Harm Potential
2022-06-09	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential
2022-06-09	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
2022-06-09	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2022-06-09	Nursing and Physician Services Deficiencies	Have 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
2022-06-09	Pharmacy Service Deficiencies	Implement 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
2019-08-29	Environmental Deficiencies	Keep all essential equipment working safely.	F – Moderate Harm Potential
2019-08-29	Resident Rights Deficiencies	Allow resident to participate in the development and implementation of his or her person-centered plan of care.	E – Moderate Harm Potential
2019-08-29	Resident Rights Deficiencies	Honor 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
2019-08-29	Resident Rights Deficiencies	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.	E – Moderate Harm Potential
2019-08-29	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.	E – Moderate Harm Potential

Showing 50 of 66 citations.

Fire Safety Citation History

24 fire safety citations on record

Date	Category	Description	Severity
2026-04-28	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	I – Actual Harm
2026-04-28	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	E – Moderate Harm Potential
2026-04-28	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	E – Moderate Harm Potential
2026-04-28	Egress Deficiencies	Install emergency lighting that can last at least 1 1/2 hours.	D – Moderate Harm Potential
2026-04-28	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	D – Moderate Harm Potential
2026-04-28	Miscellaneous Deficiencies	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	D – Moderate Harm Potential
2026-04-28	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	D – Moderate Harm Potential
2022-06-09	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	E – Moderate Harm Potential
2022-06-09	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2022-06-09	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	D – Moderate Harm Potential
2022-06-09	Miscellaneous Deficiencies	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	D – Moderate Harm Potential
2022-06-09	Emergency Preparedness Deficiencies	Address subsistence needs for staff and patients.	C – Minimal Harm Potential
2022-06-09	Emergency Preparedness Deficiencies	Provide family notifications of emergency plan.	C – Minimal Harm Potential
2022-06-09	Emergency Preparedness Deficiencies	Establish emergency prep training and testing.	C – Minimal Harm Potential
2022-06-09	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	C – Minimal Harm Potential
2019-08-29	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	E – Moderate Harm Potential
2019-08-29	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
2019-08-29	Smoke Deficiencies	Properly provide smoke detection systems in areas open to corridors.	E – Moderate Harm Potential
2019-08-29	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	E – Moderate Harm Potential
2019-08-29	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	E – Moderate Harm Potential
2019-08-29	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	D – Moderate Harm Potential
2019-08-29	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	D – Moderate Harm Potential
2019-08-29	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	D – Moderate Harm Potential
2019-08-29	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	D – Moderate 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 VIRGINIA BEACH 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.