Home / Virginia / Tappahannock
Carrington Place of Tappahannock
1150 Marsh Street, Tappahannock, VA 22560 · Essex County · (804) 443-4308
60 certified beds, about 53 residents a day · For profit - Corporation · Medicare and Medicaid since 1998
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495328 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 15, 2024, inspectors cited 17 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 24 health citations since November 2018 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.86 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
56.3% of nursing staff left within the year CMS measured (Virginia average 48.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
311/18
401/22
1707/24
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 24 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
9E
2F
Potential for minimal harm
0A
0B
0C
July 15, 2024Standard inspection · 17 citations
- F Ensure the activities program is directed by a qualified professional.
Inspectors wroteBased on staff interviews, clinical record reviews, and review of facility documents, the facility staff failed to ensure the activities program was directed by a qualified professional who could direct the provision of activities to the residents which resulted in substandard quality of care.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections with the potential to affect all residents in the facility.
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation the facility staff failed to act promptly upon the grievances arising from Resident Council.
- E 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.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation, the facility staff failed to ensure a Residents right to a safe clean, comfortable homelike environment for Residents in a survey sample of 33 Residents.
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation the facility staff failed to provide an ongoing program to support residents in their choice of activities for 4 Residents (#'s 9, 16, 34, & 36) in a survey sample of 33 Residents.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on interview, clinical record review and facility documentation, the facility staff failed to ensure sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being, for 14 out of 14 Residents that attended the group meeting.
- E Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to maintain an effective Quality Assurance and Performance Improvement (QAPI) program, having the potential to affect all 58 residents residing in the facility.
- E Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on Observation, staff interview, Resident interview, clinical record review, and facility documentation review, the facility staff failed to measure the success, and track, performance in their Quality Assurance and Process Improvement (QAPI) program for the provision of showers to residents.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation the facility staff failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff and the public
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on interview, clinical record review and facility documentation the facility staff failed to ensure Residents receive services in the facility with reasonable accommodation of resident needs for 1 Resident (Resident #9) in a survey sample of 33 Residents.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation the facility staff failed to ensure Residents received the necessary services to maintain good grooming, and personal hygiene for 4 Resident (#'s 3, 9, 56 & 44) in a survey sample of 33 Residents.
- D 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.
Inspectors wroteBased on interview, clinical record review and facility documentation the facility staff failed to ensure Residents who use psychotropics receive gradual dose reduction and are free from unnecessary psychotropic medications for 1 Resident #9 in a survey sample of 33 Residents.
- D Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Inspectors wroteBased on facility staff interview, and facility documentation, the facility failed to implement and maintain an effective training program for all new and existing staff.
- D Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Inspectors wroteBased on facility staff interview, and facility documentation, the facility failed to ensure that all direct care staff complete mandatory Effective Communication training.
- D Provide training in compliance and ethics.
Inspectors wroteBased on facility staff interview, and facility documentation, the facility failed to ensure that all staff members had completed the mandatory Ethics and Compliance Training.
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on facility staff interview, and facility documentation, the facility failed to ensure that the nurse aides had 12 hours of in-service training including dementia, abuse preventions and facility assessments, and special needs of residents in a year.
- D Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Inspectors wroteBased on facility staff interview, and facility documentation, the facility failed to ensure that all staff members had completed the mandatory Behavioral Health Training.
January 20, 2022Standard inspection · 4 citations
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, resident interview, staff interview, facility documentation review and clinical record reviews, the facility staff failed to provide assistance with ADL's (activities of daily living) (bathing, dressing, toileting, personal hygiene, incontinence care, etc.) to four Residents (Residents #11, #24, #45, #43) who were dependent upon staff assistance, in a survey sample of 22 Residents. 1. For Residents #11, #24, and #45, all who were dependent upon facility staff for assistance with ADL's, the facility staff 1a) failed to provide personal hygiene assistance and 1b) failed to provide baths and/or showers.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, clinical record review, facility documentation, and in the course of a complaint investigation, the facility staff failed to ensure the environment was free from accidents and hazards for 1 Resident (#32) in a survey sample of 22 Residents and failed to store oxygen cylinders in a safe and secure manner.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide care consistent with professional standards of practice to prevent pressure ulcer development for one Resident (Resident #43) in a sample size of 22 Residents. For Resident #43, the facility staff failed to provide soft boots on 01/19/2022 and 01/20/2022 as ordered by a physician.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interviews, facility documentation review and clinical record review, the facility staff failed to maintain a complete and accurate clinical record for 3 Residents (Residents #11, #24, and #45) in a survey sample of 22 Residents. For Residents #11, #24, and #45, the facility staff failed to document ADL care provided, therefore rendering an incomplete clinical record.
November 29, 2018Standard inspection · 3 citations
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on observation, Resident interview, clinical record review, facility record review, and staff interview, the facility staff failed to ensure a Pre-admission Screening and Resident Review (PASARR) was completed prior to admission for 3 residents (Residents #13, #3, and #8) in a sample of 20 residents. 1. For Resident #13, the facility staff failed to ensure a complete Preadmission Screening and Resident Review (PASARR) was conducted prior to admission. 2. Resident #3 did not have a PASARR screening done prior to admission. 3. For Resident #8, the facility staff failed to ensure a PASARR I was completed prior to admission.
- D Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspectors wroteBased on staff interview, clinical record review and facility documentation review, the facility staff failed to notify the physician of laboratory results for two resident (Resident # 3 and #4) in a survey sample of 25 Residents. 1. For Resident #3, the facility staff failed to notify physician of failure to obtain a HGA1C (hemoglobin A1C) as ordered. 2. For Resident #4, the facility staff failed to notify the physician of failure to obtain a Valproic acid level.
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to provide an ordered eating assistance, therapeutic device, for one Resident (Resident #13) in a survey sample of 20 Residents. For Resident #13, the facility staff failed to provide a divided plate to assist the Resident with eating at the noon meal on 11-27-18.
Fire safety inspections
15 fire safety citations on file: 9 on July 15, 2024, 4 on January 20, 2022, 2 on November 29, 2018.
Every fire safety citation15 citations
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D 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.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- D Install corridor and hallway doors that block smoke.
- D Have simulated fire drills held at unexpected times.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have generator or other power source capable of supplying service within 10 seconds.
- F Have proper power supply for life support equipment.
- E Provide properly protected cooking facilities.
- D Have a battery powered remote alarm panel in a location accessible by operating personnel.
- D Have generator or other power source capable of supplying service within 10 seconds.
- E Meet other general requirements that are deficient.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.86 | 3.76 | 3.86 |
| Registered nurses | 0.57 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.63 | 3.29 | 3.42 |
| Nurse aides | 1.73 | ||
| Licensed practical nurses | 0.56 | ||
| Nursing staff turnover (share who left in a year) | 56.3% | 48.1% | 45.8% |
| Registered nurse turnover | 60.0% | 48.2% | 42.9% |
| Administrators who left | not reported |
CMS expects 4.44 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.96 on weekdays and 2.63 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.31 in April to June 2025 to 2.86 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.86 | 0.57 | 2.96 | 2.63 | 15.2% | 1 of 90 | 53 |
| Oct to Dec 2025 | 3.23 | 0.52 | 3.37 | 2.86 | 11.9% | 0 of 92 | 51 |
| Jul to Sep 2025 | 3.34 | 0.32 | 3.52 | 2.89 | 9.5% | 1 of 92 | 52 |
| Apr to Jun 2025 | 3.31 | 0.45 | 3.51 | 2.81 | 17.3% | 1 of 91 | 53 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.7 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.5 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.1 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.0 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.4 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.8 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.5 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.0 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 22.5 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.7 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.6 | 1.5 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 7 problems in this area, most recently on July 15, 2024: "Have a plan that describes the process for conducting QAPI and QAA activities."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on July 15, 2024: "Ensure the activities program is directed by a qualified professional."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on July 15, 2024: "Honor the resident's right to organize and participate in resident/family groups in the facility."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on July 15, 2024: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.63 hours per resident per day, below the Virginia average of 3.29.
Other nursing homes nearby
- Northern Neck Senior Care Community Warsaw, 5.9 mi · 3 of 5 stars · 26 citations
- Westmoreland Rehabilitation & Healthcare Center Colonial Beach, 24.2 mi · 3 of 5 stars · 53 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Carrington Place of Tappahannock's Medicare star rating?
- CMS rates Carrington Place of Tappahannock 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Carrington Place of Tappahannock get at its last inspection?
- 17 health deficiencies at the standard inspection on July 15, 2024. The Virginia average is 14.3.
- Has Carrington Place of Tappahannock been fined?
- CMS lists no fines in the last three years.
- Does Carrington Place of Tappahannock accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Carrington Place of Tappahannock?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.