River View on the Appomattox Health & Rehab Center
201 Epps Street, Hopewell, VA 23860 · Hopewell City County · (804) 541-1445
124 certified beds, about 113 residents a day · For profit - Partnership · Medicare and Medicaid since 1971
CMS abuse icon: cited for abuse in a recent inspection Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495085 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 9, 2023, inspectors cited 28 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 63 health citations since April 2018, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.51 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.29 of those hours.
74.8% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Commonwealth Care of Roanoke, an affiliated group of 12 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.
2004/18
1102/20
2803/23
405/24
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 63 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
49D
7E
1F
Potential for minimal harm
0A
3B
1C
May 18, 2024Complaint inspection · 4 citations
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview, clinical record review, and facility documentation, the facility staff failed to review and revise the care plan after each assessment or change in Resident condition for 1 Resident (#2) in a survey sample of 5 Residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview, clinical record review, and facility documentation, the facility staff failed to provide care that meets professional standards of quality for 1 Resident (#2) in a survey sample of 5 Residents.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview, clinical record review and facility documentation the facility staff failed to ensure Residents were free from unecessary medications for 1 Resident (#2), in a survey sample of 5 Residents.
- D Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Inspectors wroteBased on interview, clinical record review, and facility documentation, the facility staff failed to provide timely diagnostic services to meet the needs of 1 Resident, (#2) in a survey sample of 5 Residents.
March 9, 2023Standard inspection · 28 citations
- K Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, staff interviews, record review, and facility policy review, the facility failed to conduct timely assessment and identification of pressure wounds for four of four residents (Resident (R) 75, R39, R16, R15) reviewed for pressure sores until the wounds had progressed to advanced stages (stage III - full thickness skin loss involving damage or necrosis of subcutaneous tissue that may extend down to, but not through, underlying fascia; stage IV - a deep wound reaching the muscles, ligaments, or bones which often causes extreme pain, infection, invasive surgeries, or even death). Immediate Jeopardy was called on 03/01/23 at 5:08 PM. The Immediate Jeopardy began on 11/11/22, when R15 was noted with an open area on the sacrum that was assessed on 11/28/22 with 100% necrotic tissue that required surgical debridement. [...]
- J Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews, record review, and facility policy review, the facility failed 1) to ensure a multi-use glucometer was disinfected per manufacturer's instructions between use on each resident to prevent potential spread of bloodborne pathogens during finger-stick blood glucose checks for three of three residents (R104, R100, and R105) observed for blood sugar monitoring. R105 was diagnosed with bloodborne pathogens potentially transmissible to other residents using the glucometer. This failure had the potential to transmit infection to all 15 residents who received finger-stick blood glucose monitoring. On 03/03/23 at 2:55 PM, Immediate Jeopardy was called. The Immediate Jeopardy began on 03/03/23 at 10:29 AM, and was removed on 03/06/23 4:30 PM. [...]
- F Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observations, resident and staff interviews, and record review, the facility failed to ensure 1) staff knocked and waited for permission to enter the rooms of one of two residents (Resident (R)56) reviewed for privacy and 2) six of six residents (R76, R104, R59, R67, R98, and R72) interviewed in the resident group meeting; and 3) that electronic medical records (EMRs) were only accessible by staff members based on their need to know for all 103 facility residents.
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on resident and staff interviews, record review, and facility policy review, the facility failed to ensure grievances voiced in Resident Council and by six of six residents (R76, R104, R59, R67, R98, and R72) interviewed in the resident group meeting were acted upon in a timely manner and the Grievance Official responded to the resident group's concerns.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on staff interview, clinical record review, the facility staff failed to ensure medications were available as ordered for one resident (Resident # 91) in a survey sample of 71 residents. This happened on multiple occasions.
- 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.
Inspectors wroteBased on observation and staff interview, the facility staff failed to 1) label eye drops with an open date for one resident (Resident #515) in a survey sample of 71 residents and 2) failed to secure medications delivered from the pharmacy.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and facility documentation review, the facility staff failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety which have the potential to affect multiple Residents on 2 of 2 nursing units.
- E Employ staff that are licensed, certified, or registered in accordance with state laws.
Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to obtain licensure verification after a professional license expired to ensure the license was current for 1 Registered Nurse, (Employee #15) in the survey sample of 25 employees.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to ensure the Resident's right to a dignified existence for 1 Resident (Resident #47) in a survey sample of 71 Residents.
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on interview, clinical record review, and facility documentation the facility staff failed to ensure the Residents right to participate in care planning for 2 Residents (#26 & # 82) in a survey sample of 71 Residents.
- D 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, record review, staff interview, and facility policy review, the facility failed to maintain an effective housekeeping program to keep the floors free from debris and pests for one of 37 residents (Resident (R) 56) rooms observed in Initial Pool and six of six residents (R76, R104, R59, R67, R98, and R72) interviewed in the resident group meeting.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, interview, clinical record review, the facility staff failed ensure freedom from neglect for 1 Resident (#16) in a survey sample of 71 Residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review, the facility staff failed to develop a comprehensive dental care plan for one Resident (Resident #48) in a survey sample of 71 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, clinical record review, and facility documentation the facility staff failed to review and revise care plans to include changes in resident care for 2 Residents (#65 and #15) in a survey sample of 71 Residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on staff interview, clinical record review and facility documentation review, the facility staff failed to follow standards of nursing practice with regards to following physician orders for one Resident (Resident #16) in a survey sample of 71 Residents.
- D Plan the resident's discharge to meet the resident's goals and needs.
Inspectors wroteBased on staff interview and clinical record review, the facility failed to develop discharge plans for one Resident (Resident # 113) in a survey sample of 71 Residents.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide services to maintain personal hygiene for 1 Resident (#98) in a survey sample of 71 Residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation, the facility staff failed to provide needed care and services that are resident centered, according to resident's preferences, goals for care that meet the resident's physical, mental, and psychosocial needs for 2 Resident (#26 & 104) in a survey sample of 71 Residents.
- D Provide appropriate foot care.
Inspectors wroteBased on interview, record review, and review and facility policy review, the facility failed to ensure two residents of two residents (Resident (R) 43 and R15) reviewed for podiatry services received services.
- D 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.
Inspectors wroteBased on observations, record review, staff interviews, Food and Drug Administration's (FDA) guidance and facility policy review, the facility failed to demonstrate an indication for use and attempt alternatives prior to installing bed rails (siderails) for one of six residents (Resident (R) 464) reviewed for accidents.
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to complete a performance review of one Certified Nursing Assistant (CNA # 2) of 5 Certified Nursing Assistant's in the survey staff sample.
- 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 were free of unnecessary psychotropic medications for 2 Residents (#'s 15 &31) in a survey sample of 71 Residents.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to 1) provide influenza vaccines for 1 resident, Resident #465, out of 5 residents reviewed for influenza immunization and 2) facility staff failed to provide a pneumococcal vaccine for 1 resident, Residents #465, out of 5 residents reviewed for pneumococcal immunization.
- D Perform COVID19 testing on residents and staff.
Inspectors wroteBased on clinical record review, staff interview, and facility documentation review, the facility staff failed to conduct COVID-19 testing in accordance with the Centers for Disease Control and Prevention (CDC) guidance for 2 residents, Resident #114 and Resident #116, in a sample of 5 Residents reviewed for COVID-19 testing.
- D 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.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to provide COVID-19 immunization for 1 resident, Resident #465, in a survey sample of 5 residents reviewed for COVID-19 immunization.
- D Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation, record review, and staff interview, the facility failed to maintain an effective pest control program for one of 37 residents' (Resident (R) 56) rooms observed in Initial Pool. This failure had the potential to lead to further pest infestation in the facility.
- C Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation and staff interview, the facility staff failed to have the most recent survey readily accessible. One of one survey report binder was missing the survey ending 12/08/2022.
- B Post nurse staffing information every day.
Inspectors wroteBased on observation, staff interview and facility documentation review, the facility staff failed to post the daily nurse staffing.
February 6, 2020Standard inspection · 11 citations
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review, the facility staff failed to determine if it was safe for one Resident to self-administer nebulized respiratory medication (Resident #110 ) in a sample of 43 residents.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, staff interview, clinical record review, facility documentation review, and the facility failed to prevent physical abuse by staff for one resident (Resident #169) in a survey sample of 43 residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to implement a care plan for bowel management and incontinence care for 1 resident (Resident #23) in a survey sample of 43 residents.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide timely personal care after episodes of incontinence for 1 resident (Resident #23) in a survey sample of 43 residents.
- D 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.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed for one resident (Resident #80) of 43 residents to administer splints to the upper extremities and hands as ordered.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview, clinical record review and facility documentation review, the facility staff failed to provide adequate supervision to prevent elopement for 1 of 43 residents (Resident #168).
- D 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.
Inspectors wroteBased on observation and interview the facility staff failed to appropriately label and store medications and biologicals for 1 of 4 units
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, Resident Council meeting, and two Resident interviews, the facility failed to ensure food was served at a palatable temperature for 2 of 43 residents (Resident #32 and #49).
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on Resident interview, facility documentation, and clinical record review the facility staff failed to ensure the resident received food that accommodates resident preferences, for 1 Resident (#32) in a survey sample of 43 Residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, facility document review, clinical record review, and staff interview, the facility staff failed to implement an effective infection control program for two Residents (Resident #36, & #80) in a survey sample of 43 residents.
- B 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, family interview, resident interview and staff interview, the facility staff failed for 1 resident (Resident # 37) of 43 residents to provide a clean, comfortable, home-like environment.
April 27, 2018Standard inspection · 20 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview and facility documentation review the facility staff failed follow professional standards for food service safety related to hand washing between changing gloves and touching face with gloved hands.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, Resident interview, staff interview, facility document review, clinical record review, and in the course of a complaint investigation, the facility staff failed to maintain peritoneal dialysis (PD) in a manner to prevent the spread of infection for 1 resident (Resident #308) in a survey sample of 28 residents. 1. For Resident #308, the facility staff contaminated the PD exchange during multiple steps on the 4-26-18 exchange observation. 2. The facility staff failed to ensure the ice machine on 2 of 2 units had an air gap to prevent backflow of contaminated water.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, resident interview, staff interview, facility documentation review, clinical record review, and in the course of a complaint, the facility staff failed to notify the doctor of a serious weight gain for one Resident (Resident #308) of 28 residents in the survey sample. For Resident #308 the facility staff did not notify the doctor of weight gain as was ordered for a dialysis patient on more than one occasion.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, staff interview, facility documentation review, and clinical record review, the facility staff failed, for 1 resident (Resident #31) of the survey sample of 23 residents, to ensure personal privacy. For Resident #31, the facility staff failed to knock on the door, announce themselves, and ask permission prior to entering the room.
- D 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, resident and family interview, and facility and clinical documentation, the facility failed to maintain a clean and homelike environment. 1. For Resident #61, the room and bathroom needed cleaning and tiles replaced. 2. For Resident # 15, the facility staff failed to ensure that the room was free of a strong pervasive odor.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on observation, staff interview, clinical record review and facility documentation review the facility staff failed for 2 residents (Resident #4 and #262) in a survey sample of 28 residents to implement the abuse policy. An allegation of abuse was made by Resident #262 regarding Resident #4. The allegation was not reported to the Administration or to the State Agency.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on observation, staff interview, clinical record review and facility documentation review the facility staff failed for 2 residents (Resident #4 and #262) in a survey sample of 28 residents to report an allegation of abuse to facility administration or to the state agency. An allegation of abuse was made by Resident #262 regarding Resident #4. The allegation was not reported to the Administration or to the State Agency.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wrote2. Resident #61's care plan did not contain information regarding his left sided neglect from a previous stroke affecting his communication. Resident #61 was admitted to the facility 3/16/16. Diagnoses included, but not limited to, dementia, stroke, diabetes and aphasia. Resident #61's most recent MDS (minimum data set) with an ARD (assessment reference date) of 3/13/18 was coded as an annual assessment. Resident #61 was coded as having a BIMS (brief interview of mental status) of 5 out of a possible 15 or severe cognitive impairment. Resident #61 was coded as requiring extensive to total assistance of one to two staff members to perform activities of daily living. On 4/24/18 at approximately:10 PM during the facility tour, the resident was observed in his bed with his daughter nearby. [...]
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on staff interview, facility documentation review, and clinical record review, the facility staff failed to follow the professional standards of quality for medication and treatment administration for two Residents (Residents # 8 and # 407) in a survey sample of 28 Residents. 1. For Resident # 8, the facility staff failed to administer medications as ordered by the physician. 2. For Resident #407, Facility staff administered Oxygen without a Physician's order.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, resident interview, family interview, staff interview, and clinical record review the facility staff failed to provide Activity of Daily Living (ADL) assistance for 1 resident (Resident #258) of 28 residents in the survey sample. For Resident #258, facility staff failed to provide feeding assistance.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, resident interview, staff interview, facility documentation review and clinical record review, the facility staff failed to provide peritoneal dialysis services to maintain the highest practicable well being for one Resident (Resident #308) of 28 residents in the survey sample. Resident #308 did not receive peritoneal dialysis services to maintain her highest practicable wellbeing.
- D 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.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review the facility staff failed to prevent a decrease in range of motion, for one resident (Resident #34) of 28 residents in the survey sample. Resident #34 was never observed wearing any protective hand device to prevent the formation of contractures, and loss of range of motion.
- 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.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to administer tube feeding per professional standards for 1 resident (Resident #34) in the survey sample of 28 residents. Facility staff failed to maintain Resident #34's head of bed elevated to prevent aspiration of tube feeding.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, clinical record review and facility documentation review, the facility staff failed for 1 resident (Resident #257) of 28 residents in the survey sample to provide respiratory care in the manner to prevent the spread of infection. For Resident #257, the tubing to the nebulizer machine was on the floor and a used sterile catheter used for bronchial suctioning was kept for reuse in an open plastic bag.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, staff interview, and clinical record review the facility staff failed to provide pain management for 1 resident (Resident #258) of 28 residents in the survey sample. For Resident #258, facility staff failed to provide physician ordered fentanyl patch for pain management.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, resident interview, staff interview, facility documentation review, clinical record review, and in the course of a complaint, the facility staff failed to provide peritoneal dialysis services consistent with professional standards of practice, the comprehensive care plan, and the Resident's goals and preferences for one Resident (Resident #308) of 28 residents in the survey sample. Resident #308 did not receive peritoneal dialysis consistent with professional standards of practice.
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on observation, Resident interview, staff interview, facility documentation review, clinical record review, and in the course of a complaint investigation, the facility failed to ensure competent nursing staff to provide peritoneal dialysis (PD) services for one Resident (Resident #308) in a survey sample of 28 residents. The Facility failed to provide competent nursing staff for Resident #308's peritoneal dialysis care needs.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, staff interview, and clinical record review the facility staff failed to ensure for 1 resident (Resident #258) of 28 residents in the survey sample that medication was available for administration. For Resident #258, physician ordered fentanyl patch was not administered because it had not been delivered by the pharmacy.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on staff interview, facility documentation review, and clinical record review, the facility staff failed to ensure one resident (Resident # 8) in a survey sample of 28 residents was free from significant medication errors. For Resident # 8, the facility staff failed to administer insulin as prescribed by the physician.
- B Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on staff interview, facility documentation review and clinical record review, the facility staff failed to ensure a comprehensive care plan was reviewed and revised after each MDS quarterly or MDS comprehensive assessment for one resident ( Resident # 8) in a survey sample of 28 residents. There were multiple areas in the comprehensive care plan that were not reviewed. For Resident # 8, the facility staff did not review the care plan after the MDS Quarterly assessment on 10/15/17.
Fire safety inspections
13 fire safety citations on file: 9 on March 9, 2023, 4 on February 6, 2020.
Every fire safety citation13 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Have properly located and lighted "Exit" signs.
- E Install corridor and hallway doors that block smoke.
- E Have properly installed electrical wiring and gas equipment.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Provide properly protected cooking facilities.
- D Ensure proper usage of power strips and extension cords.
- F Have an alternate power supply for its alarm system.
- F Install corridor and hallway doors that block smoke.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
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) | 3.51 | 3.76 | 3.86 |
| Registered nurses | 0.29 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.99 | 3.29 | 3.42 |
| Nurse aides | 2.03 | ||
| Licensed practical nurses | 1.19 | ||
| Nursing staff turnover (share who left in a year) | 74.8% | 48.1% | 45.8% |
| Registered nurse turnover | 100.0% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.99 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 3.72 on weekdays and 2.99 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 25.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.26 in April to June 2025 to 3.51 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 | 3.51 | 0.29 | 3.72 | 2.99 | 25.5% | 0 of 90 | 113 |
| Oct to Dec 2025 | 3.33 | 0.24 | 3.49 | 2.93 | 30.6% | 2 of 92 | 115 |
| Jul to Sep 2025 | 3.35 | 0.23 | 3.53 | 2.87 | 26.4% | 5 of 92 | 112 |
| Apr to Jun 2025 | 3.26 | 0.23 | 3.48 | 2.72 | 19.5% | 11 of 91 | 106 |
| 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 | 15.8 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.2 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.1 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.3 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.6 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.9 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.9 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.4 | 1.5 | 1.8 |
Owners and operators
Legal business name: HOPEWELL HEALTH CARE LLC. CMS links this home to Commonwealth Care of Roanoke, a group of 12 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Yacovone, Todd | W-2 managing employee | Individual | 09/19/2018 | |
| Alesantrino, Joe | Corporate officer | Individual | 06/01/2019 | |
| Petrine, Deborah | Corporate officer | Individual | 12/16/2005 | |
| Tucker, David | Corporate officer | Individual | 07/01/2007 | |
| Commonwealth Care of Roanoke Inc | Operational/managerial control | Organization | 01/24/2005 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 15 problems in this area, most recently on March 9, 2023: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- 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 9, 2023: "Keep residents' personal and medical records private and confidential."
- When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on May 18, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on May 18, 2024: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.99 hours per resident per day, below the Virginia average of 3.29.
Other nursing homes nearby
- Wonder City Rehabilitation and Nursing Center Hopewell, 2.5 mi · 1 of 5 stars · 93 citations
- Colonial Heights Rehabilitation and Nursing Center Colonial Heights, 6.2 mi · 1 of 5 stars · 90 citations
- Petersburg Healthcare Center Petersburg, 7.5 mi · 2 of 5 stars · 43 citations
- Battlefield Park Healthcare Center Petersburg, 8.3 mi · 2 of 5 stars · 72 citations
- Hiram W Davis Medical Ctr Petersburg, 9.9 mi · 4 of 5 stars · 22 citations
- Tyler's Retreat at Iron Bridge Chester, 11.7 mi · 3 of 5 stars · 45 citations
- Dinwiddie Health and Rehab Center Petersburg, 12.8 mi · 2 of 5 stars · 30 citations
- Health Care Center Lucy Corr Chesterfield, 13.7 mi · 2 of 5 stars · 48 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 River View on the Appomattox Health & Rehab Center's Medicare star rating?
- CMS rates River View on the Appomattox Health & Rehab Center 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did River View on the Appomattox Health & Rehab Center get at its last inspection?
- 28 health deficiencies at the standard inspection on March 9, 2023. The Virginia average is 14.3.
- Has River View on the Appomattox Health & Rehab Center been fined?
- CMS lists no fines in the last three years.
- Does River View on the Appomattox Health & Rehab Center 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 River View on the Appomattox Health & Rehab Center?
- CMS lists 5 owners and managers, and links the home to Commonwealth Care of Roanoke. Legal business name: HOPEWELL HEALTH CARE LLC.
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.