YORK Post Acute Inspection Report, Violations & Safety Grade (YORKTOWN, Virginia)

113 BATTLE ROAD, YORKTOWN, Virginia 23692

Phone: 7578981491

CMS Overall:3/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

78.1

Ownership

For profit - Corporation

Provider Type

Medicare and Medicaid

County

York

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

Yes

CMS Star Ratings

Overall3/5

Health2/5

Staffing2/5

Quality5/5

Nurse Staffing Check

Metric	This Facility	Virginia Avg	Difference
RN Hours per Resident per Day	0.81	0.71	+0.10
Total Nurse Hours per Resident per Day	3.36	3.88	-0.52
CMS Staffing Rating	2/5	2.5/5	-
Nursing Staff Turnover	62.7%	47.5%	-

Health Citation History

26 health citations on record

Date	Category	Description	Severity
2023-11-21	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G – Actual Harm
2023-11-21	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
2023-06-29	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.	J – Immediate Jeopardy
2023-06-29	Quality of Life and Care Deficiencies	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.	J – Immediate Jeopardy
2023-06-29	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G – Actual Harm
2023-06-29	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2023-06-29	Quality of Life and Care Deficiencies	Try 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.	E – Moderate Harm Potential
2023-06-29	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D – Moderate Harm Potential
2023-06-29	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
2023-06-29	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
2023-06-29	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D – Moderate Harm Potential
2023-06-29	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
2023-06-29	Resident Rights Deficiencies	Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.	D – Moderate Harm Potential
2023-06-29	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.	D – Moderate Harm Potential
2023-06-29	Infection Control Deficiencies	Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.	D – Moderate Harm Potential
2021-04-15	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2021-04-15	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D – Moderate Harm Potential
2021-04-15	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D – Moderate Harm Potential
2021-04-15	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
2021-04-15	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D – Moderate Harm Potential
2021-04-15	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D – Moderate Harm Potential
2021-04-15	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
2018-08-16	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E – Moderate Harm Potential
2018-08-16	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D – Moderate Harm Potential
2018-08-16	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
2018-08-16	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	B – Minimal Harm Potential

Fire Safety Citation History

6 fire safety citations on record

Date	Category	Description	Severity
2023-06-29	Egress Deficiencies	Meet other general requirements.	F – Moderate Harm Potential
2023-06-29	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	D – Moderate Harm Potential
2021-04-15	Gas, Vacuum, and Electrical Systems Deficiencies	Meet requirements for the use of electrical equipment.	D – Moderate Harm Potential
2018-08-16	Egress Deficiencies	Meet other general requirements that are deficient.	F – Moderate Harm Potential
2018-08-16	Gas, Vacuum, and Electrical Systems Deficiencies	Meet requirements for the installation and maintenance of electrical systems.	D – Moderate Harm Potential
2018-08-16	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	D – Moderate Harm Potential

Total Penalties & Fines

$9,311

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2023-11-21	Fine	$9,311	-

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Need Help Finding Safe Care?

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

Find Safe, Vetted Facilities Near YORKTOWN
(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.