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Deer Meadows Rehabilitation and Nursing

600 Walden Road, Abingdon, VA 24210 · Washington County · (276) 628-2111

119 certified beds, about 101 residents a day · For profit - Corporation · Medicare and Medicaid since 1999

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 495338 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 6, 2024, inspectors cited 23 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 53 health citations since May 2019 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 3.30 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.28 of those hours.

63.6% of nursing staff left within the year CMS measured (Virginia average 48.1%).

CMS links it to Eastern Healthcare Group, an affiliated group of 18 nursing homes.

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.

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 53 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
36D
13E
4F
Potential for minimal harm
0A
0B
0C
March 14, 2025Complaint inspection · 13 citations
  1. E
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    F711 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on interviews, clinical record review, and facility document review, the facility staff failed to ensure medical provider orders were signed by the ordering provider when the orders were entered into residents' clinical records by non-prescribing facility staff members for two (2) of 11 sampled residents (Resident #4 and Resident #6).
  2. E
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on staff interviews, facility document review, and clinical record review, the facility staff failed to obtain laboratory tests as ordered by the medical provider for two (2) of 11 sampled residents (Resident #2 and Resident #7).
  3. D
    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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on staff interviews and facility document review, the facility staff failed to have evidence of attempting to resolve four (4) grievances.
  4. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on staff interviews and clinical record review, the facility staff failed to ensure a baseline/admission care plan addressed indwelling urinary catheter care for one (1) of 11 sampled residents (Resident #8).
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on staff interviews and clinical record review, the facility staff failed to ensure a comprehensive care plan addressed indwelling urinary catheter care for one (1) of 11 sampled residents (Resident #8).
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on staff interviews, clinical record review, and facility document review, the facility staff failed to provide treatment and/or care to address the needs of one (1) of 11 sampled residents (Resident #6).
  7. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on staff interviews, clinical record review, and facility document review, the facility staff failed to consistently provide treatment and/or services to address pressure areas for one (1) of 11 sampled residents (Resident #6).
  8. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on staff interviews, clinical record review, and facility document review, the facility staff failed to consistently provide treatment and/or services to address a surgical foot wound for one (1) of 11 sampled residents (Resident #6).
  9. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on staff interviews, facility document review, and clinical record review, the facility staff failed to provide indwelling urinary catheter care for one (1) of 11 sampled residents (Resident #8).
  10. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on staff interviews, clinical record review, and facility document review, the facility staff failed to ensure a correct diagnosis prior to the use of an antipsychotic medication and failed to monitor for behaviors for one (1) of 11 sampled residents (Resident #4).
  11. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on staff interviews, facility document review, and clinical record review, the facility staff failed to ensure antibiotics were administered as order by the medical provider for one (1) of 11 sampled residents (Resident #6).
  12. D
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    F773 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on staff interview, clinical record review and facility document review the facility staff failed to obtain a physician's order prior to obtaining a laboratory test for 1 of 11 residents, Resident #2.
  13. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on staff interviews, facility document review, and clinical record review, the facility staff failed to maintain complete and/or accurate clinical records for one (1) of 11 sampled residents (Resident #6).
August 6, 2024Standard inspection, Complaint inspection · 23 citations
  1. F
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on staff interviews and facility document review, the facility staff failed to have documented evidence of dietary staff training related to safe food handling.
  2. F
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on observations, staff interviews, and facility document review, the facility staff failed to ensure proper disposal and/or containment of the facility's garbage/waste.
  3. E
    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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on resident and staff interview, clinical record review, and facility document review, the facility staff failed to provide evidence of a bed hold policy being given to 5 of 27 residents in the survey sample, residents #13, 68, 36, 98, and 56.
  4. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to ensure the comprehensive care plan was reviewed and revised by the interdisciplinary team, and/or failed to involve the resident or resident representative in planning care, for 5 of 27 sampled residents, Resident #88, #23, #73, #28, and #82.
  5. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on staff interviews, clinical record review, and facility document review, the facility staff failed to provide care and/or services for five (5) of 27 sampled residents (Resident #15, Resident #36, Resident #73, Resident #82, and Resident #258).
  6. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review the facility staff failed to act on pharmacy recommendations for 4 of 27 residents in the survey sample residents # 83, 8, 56, 28.
  7. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to store all medications and biologicals in a locked storage compartment on 1 of 2 nursing units, unit 1 hall C.
  8. E
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    F800 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on observations, staff interviews, and facility document review, the facility staff failed to use the correct size of serving utensils when plating residents' food.
  9. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on observations, staff interviews, and facility document review, the facility staff failed to consistently follow menus for resident meals.
  10. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on observations, resident interviews, facility staff interviews, and facility document review, the facility staff failed to provide food that is palatable and/or attractive. The facility staff failed to ensure cookies were provided to three (3) of 27 sampled resident in a manner that ensured the cookies were palatable when served to the residents (Resident #28, Resident #73, and Resident #96).
  11. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on observations, staff interviews, and facility document review, the facility staff failed to appropriately prepare, store, and/or serve resident food items.
  12. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on staff interviews, clinical record review, and facility document review, the facility staff failed to ensure that residents and/or resident representatives had the opportunity to develop an advanced directive for two (2) of 27 sampled residents (Resident #36 and Resident #46).
  13. D
    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.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on staff interview, medical record review and facility document review, the facility staff failed to ensure appropriate information is documented and/or communicated to the receiving healthcare institution for 2 of 27 residents in the survey sample, resident # 13 and # 68.
  14. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on staff interviews, facility document review, and clinical record review, the facility staff failed to ensure that written transfer notices were provided for three (3) of 27 sampled residents and/or residents' representatives (Resident #107, Resident #98, and Resident #56).
  15. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review, the facility staff failed to screen for a mental disorder or intellectual disability for 1 of 27 current residents in the survey sample, resident # 95.
  16. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on staff interview, record review and facility document review, the facility staff failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care for one of 27 residents in the survey sample, resident # 95.
  17. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review, the facility staff failed to develop and/or implement a comprehensive care plan for 2 of 27 residents in the survey sample, resident # 88 and resident # 258.
  18. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to provide an ongoing, person-centered activity program to support resident choice, interests and physical, mental, and psychosocial well-being for 2 of 27 residents in the current survey sample, Resident #88 and Resident #28.
  19. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on observations, staff interviews, clinical record review, and facility document review, the facility staff failed to ensure a medication was available for administration for one (1) of four (4) residents included in medication administration observations (Resident #14).
  20. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on staff interviews, clinical record review, and facility document review, the facility staff failed to ensure a correct diagnosis for the use of a psychotropic medication for one (1) of 27 sampled residents (Resident #56).
  21. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on observations, staff interviews, clinical record review, and facility document review, the facility staff failed to ensure a medication error rate of less than 5%. There were two (2) medication errors in 30 opportunities for a medication error rate of 6.67%. These medication errors affected Resident #14.
  22. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on staff interviews, clinical record reviews, and facility document review, the facility staff failed to maintain complete and/or accurate clinical documentation for one (1) of 27 sampled residents (Resident #15).
  23. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to perform hand hygiene between residents during a medication pass and pour observation.
October 28, 2021Standard inspection · 6 citations
  1. F
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 3, 2021
    Inspectors wroteBased on interviews and the review of documents, it was determined the facility staff failed to ensure the director of food and nutrition services possessed the required education and/or certification.
  2. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 3, 2021
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to complete a required PASARR (Pre-admission Screening and Resident Review) for 1 of 21 residents in the survey sample, Resident #60.
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 3, 2021
    Inspectors wroteBased on observation, staff interview, and clinical record review the facility staff failed to ensure that residents receive treatment and care by following physician's orders for 1 of 21 residents. Resident #41.
  4. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 3, 2021
    Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, it was determined the facility staff failed to ensure enteral feedings were provided to meet resident needs for one (1) of 21 residents (Resident #65).
  5. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 3, 2021
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to assist residents in obtaining dental care from an outside source for 1 of 21 residents in the survey sample, Resident #60.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 3, 2021
    Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to 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 for 1 of 2 facility units, Unit 2.
May 2, 2019Standard inspection · 11 citations
  1. F
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 13, 2019
    Inspectors wroteBased on facility staff interview and document review it was determined the facility staff failed to conduct quarterly quality assurance meetings with a medical director present.
  2. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 13, 2019
    Inspectors wrote2. Based on resident interview, staff interview and resident council meeting minutes, facility staff restricted access to building amenities based on residents' room location for 1 of 2 nursing units and failed to make telephones available for resident use. Prior to attending the resident council meeting, the surveyor reviewed resident council meeting minutes on 5/01/19. The minutes from January 25 2019-- The administrator attended to tell residents about changes to the building which included closing the doors between side 1 (short term for rehab) and side 2 and restricting residents' use of the dining/day room on that hall to residents on the hall. Residents asked about their current use to visit with family or watch TV and the administrator told them to use the side 2 day room. [...]
  3. E
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 13, 2019
    Inspectors wroteBased on clinical record review, and staff interview, the facility staff failed to notify the physician of changes in Resident condition for 2 of 26 Residents in the survey sample, Resident #74 and Resident # 12.
  4. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 13, 2019
    Inspectors wroteBased on observation and resident interview, facility staff failed to create a home-like environment by providing a chair in the resident's room. Resident #54 was admitted to the facility on [DATE]. Diagnoses included heart failure cardiopulmonary disease, hypertension, diabetes mellitus, generalized muscle weakness, unsteady gait, insomnia, anxiety, and depression. On the quarterly minimum data set assessment with assessment reference date 3/19/19, the resident scored 15/15 on the brief interview for mental status and was assessed as without signs of delirium, psychosis, or behaviors affecting care. During the initial screening process on 4/30/19, the resident reported having been banned from using the big room on unit 1 when family visits. The resident said they have been told to use the dining room, which has no chairs for them, or the conference room which is locked on weekends. [...]
  5. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 13, 2019
    Inspectors wroteBased on observation, staff interview and clinical record review it was determined the facility staff failed to provided personal privacy during an examination and treatment for 1 of 26 residents (Resident #60.)
  6. D
    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.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 13, 2019
    Inspectors wroteBased on clinical record review and staff interview, the facility staff failed to ensure that the appropriate information was communicated to the receiving facility upon transfer to the hospital for 1 of 26 Residents in the survey sample, Resident # 65.
  7. D
    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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 13, 2019
    Inspectors wroteBased on staff interview and clinical record review the facility staff failed to provide a written notice of bed hold for 1 of 26 Residents in the survey sample, Resident # 65.
  8. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 13, 2019
    Inspectors wroteBased on clinical record review, and facility document review, the facility staff failed to ensure that 1 of 26 Residents in the survey sample were free of unnecessary psychotropic medications, Resident # 79 . 1. Facility staff failed to ensure Resident # 79 was free from unnecessary psychotropic medications. Resident # 79 was ordered Ativan as a PRN (as needed) medication for longer than 14 days, and without a stop date. Resident # 79, an [AGE] year-old female, was admitted to the facility on [DATE] with diagnoses that included atrial fibrillation, vascular dementia, delusional disorder, depressive disorder, hypertension, constipation, history of coronary artery bypass graft, and pacemaker placement. [...]
  9. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 13, 2019
    Inspectors wroteBased on observation, clinical record review, and facility document review, the facility failed to ensure a med error rate less than 5 percent. There were 3 errors in 25 opportunities for a medication error rate of 12%.
  10. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 13, 2019
    Inspectors wroteBased on clinical record review and facility document review, the facility staff failed to ensure that 1 of 26 Residents in the survey sample was free of significant medication errors, Resident # 74.
  11. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 13, 2019
    Inspectors wroteBased on observation and facility document review, the facility staff failed to provide a safe sanitary environment to help prevent the development and transmission of communicable diseases and infections during medication pass observation, and observation of wound care.

Fire safety inspections

9 fire safety citations on file: 9 on October 28, 2021.

Every fire safety citation9 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 28, 2021 · Corrected (the home has a date of correction)
  2. F
    Install corridor and hallway doors that block smoke.
    K 363 · October 28, 2021 · Waiver
  3. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · October 28, 2021 · Corrected (the home has a date of correction)
  4. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 28, 2021 · Corrected (the home has a date of correction)
  5. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · October 28, 2021 · Corrected (the home has a date of correction)
  6. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · October 28, 2021 · Corrected (the home has a date of correction)
  7. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 28, 2021 · Corrected (the home has a date of correction)
  8. D
    Have properly located and lighted "Exit" signs.
    K 293 · October 28, 2021 · Corrected (the home has a date of correction)
  9. D
    Provide properly protected cooking facilities.
    K 324 · October 28, 2021 · Corrected (the home has a date of correction)

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.

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)3.303.763.86
Registered nurses0.280.690.69
All nursing staff on weekends2.933.293.42
Nurse aides1.91
Licensed practical nurses1.11
Nursing staff turnover (share who left in a year)63.6%48.1%45.8%
Registered nurse turnover63.6%48.2%42.9%
Administrators who left1

CMS expects 4.48 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 3.45 on weekdays and 2.93 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.10 in April to June 2025 to 3.30 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.300.283.452.93 5.1%2 of 90101
Oct to Dec 20253.300.273.432.97 6.5%6 of 9296
Jul to Sep 20253.160.243.272.87 7.6%10 of 92103
Apr to Jun 20253.100.213.232.77 2.7%5 of 91106
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Virginia, Jan to Mar 20263.580.563.763.125.7%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.

MeasureThis homeVirginiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.614.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.01.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.43.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.61.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.215.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.84.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.814.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
33.322.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.111.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.51.8

Owners and operators

Legal business name: DEER MEADOWS REHABILITATION AND NURSING LLC. CMS links this home to Eastern Healthcare Group, a group of 18 nursing homes averaging 1.5 stars overall.

NameRoleTypeShareSince
VA SNF Operations Holdings 2 LLC5% or greater direct ownership interestOrganization100%02/01/2024
Jj United Tr5% or greater indirect ownership interestOrganization50%02/01/2024
Saunders, EppieW-2 managing employeeIndividual02/01/2024
Shapiro, AkivaCorporate officerIndividual02/01/2024
Sommer, NechamaCorporate officerIndividual02/01/2024

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.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 11 problems in this area, most recently on March 14, 2025: "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."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 10 problems in this area, most recently on March 14, 2025: "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."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on March 14, 2025: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on March 14, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.93 hours per resident per day, below the Virginia average of 3.29.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Virginia contacts for a concern about a nursing home

These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.

Common questions

What is Deer Meadows Rehabilitation and Nursing's Medicare star rating?
CMS rates Deer Meadows Rehabilitation and Nursing 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 Deer Meadows Rehabilitation and Nursing get at its last inspection?
23 health deficiencies at the standard inspection on August 6, 2024. The Virginia average is 14.3.
Has Deer Meadows Rehabilitation and Nursing been fined?
CMS lists no fines in the last three years.
Does Deer Meadows Rehabilitation and Nursing 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 Deer Meadows Rehabilitation and Nursing?
CMS lists 5 owners and managers, and links the home to Eastern Healthcare Group. Legal business name: DEER MEADOWS REHABILITATION AND NURSING LLC.

Sources

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