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Riverside Lifelong H & R Warwick Forest

1000 Old Denbeigh Boulevard, Newport News, VA 23602 · Newport News City County · (757) 875-2000

209 certified beds, about 198 residents a day · Non profit - Corporation · Medicare and Medicaid since 1969

Last standard inspection more than 2 years ago Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495071 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 8, 2023, inspectors cited 26 health deficiencies (the Virginia average is 14.3, the national average 9.2).

Of 58 health citations since August 2018, 4 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $10,358 in the last three years; the largest was $10,358, and the latest is dated August 25, 2025.

Nurses and nurse aides worked 3.38 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.

CMS links it to Riverside Health System, an affiliated group of 6 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 58 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
4G
0H
0I
Potential for more than minimal harm
36D
18E
0F
Potential for minimal harm
0A
0B
0C
August 25, 2025Complaint inspection · 7 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on observation, staff interviews, clinical record review, and review of facility documents, the facility staff failed to provide adequate supervision to prevent accidents for 1 of 17 residents (Resident #8) in the survey sample, which constituted harm.
  2. E
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on observation, resident and staff interviews and review of facility documentation the facility staff failed to ensure resident care and services were provided in accordance with accepted standards of clinical practice for medication administration for 1of 17 residents. Resident #11.
  3. E
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · 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 29, 2025
    Inspectors wroteBased on observations, resident interviews, staff interviews, and review of the clinical record, the facility staff failed to manage acute pain secondary to fractures for 1 of 17 residents (Resident #1) in the survey sample.
  4. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on observation, resident and staff interviews and review of facility documentation the facility failed to provide pharmaceutical services to assure the accurate acquiring, receiving, dispensing and administration of drugs to meet the needs of each the resident for 1 of 17 residents. Resident #11.
  5. E
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on Observation, staff interview, clinical record review, and facility document review the facility staff failed to provide necessary documents for two Residents receiving hospice care (Resident #15, and 6) in a survey sample of 17 Residents. 1. The Facility staff failed to provide Hospice nurses' notes and wound care measurements pertaining to Resident #15. Resident #15 was initially admitted to the facility on [DATE] and readmitted on [DATE] from the community. The current diagnoses included cerebral vascular disease. The admission, significant change, annual quarterly, Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of [DATE] coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 3 out of a possible 15. This indicated that Resident #15's cognitive abilities for daily decision making were severely impaired. [...]
  6. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on observation, family interview, staff interview, clinical record review, and review of facility documents, the facility's staff failed to notify the resident's family representative of two pressure ulcers identified on 7/09/25 for 1 of 17 residents (Resident #15), in the survey sample. Resident #15 was initially admitted to the facility on [DATE] and readmitted on [DATE] from the community. The current diagnoses included cerebral vascular Disease. The admission, significant change, annual quarterly, Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 7/15/25 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 3 out of a possible 15. This indicated Resident #15 cognitive abilities for daily decision making were severely intact. [...]
  7. 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) September 29, 2025
    Inspectors wroteBased on resident interviews, staff interviews, and review of the clinical record, the facility staff failed to provide toileting upon request for 1 of 17 residents (Resident #2) in the survey sample.
December 8, 2023Standard inspection, Complaint inspection · 26 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide evidence of written RP (responsible party) notification was provided when four of 60 residents in the survey sample who were transferred to the hospital, Residents #49, Resident #58, Resident #8 and Resident #60.
  2. E
    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, pattern · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to develop and/or implement the care plan for seven of 60 residents in the survey sample, Residents #59, #70, #49, #115, #60, #23, and #134.
  3. E
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · 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) January 22, 2024
    Inspectors wroteBased on resident and staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide evidence of providing ADLs (activities of daily living) care to maintain abilities for two of 60 residents, Resident #49 and Resident #8. 1.
  4. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to provide dialysis care and services to three of nine facility dialysis residents; Residents #72, #60, and #120.
  5. 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) January 22, 2024
    Inspectors wroteBased on clinical record review, staff interview and facility document review it was determined that the facility staff failed to ensure that pharmacy recommendations were reviewed and implemented in a timely manner for three of five residents reviewed for unnecessary medications, Resident #24, Resident #39 and Resident #41.
  6. E
    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, pattern · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to ensure that one of sixty residents in the survey sample, Resident #134, was free of unnecessary psychotropic medications.
  7. 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) January 22, 2024
    Inspectors wroteBased on observation, staff interview and facility document review, it was determined that the facility staff failed to serve food in a palatable manner from one of one facility kitchens.
  8. 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) January 22, 2024
    Inspectors wroteBased on observation, staff interview and facility document review, it was determined that the facility staff failed to store food in a sanitary manner in one of one facility kitchens.
  9. E
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    F909 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on observations, staff interview, clinical record review and facility document review, it was determined the facility staff failed to evidence bed inspections for four of 60 residents in the survey sample, Residents # 49, Resident #58, Resident #60 and Resident #8.
  10. 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) January 22, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to ensure reasonable accommodation of needs for one of 60 residents in the survey sample, Resident #19.
  11. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on review of facility's documentation and staff interview, it was determined that the facility failed to promote and facilitate the resident's right to self-determination by promoting resident's choice in transferring to wheelchair for one of 60 residents in the survey sample, Resident #154.
  12. 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) January 22, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide evidence of required resident information when a resident is transferred to the hospital, for one of 60 residents in the survey sample, Residents #49.
  13. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on observations, staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide an accurate MDS (minimum data set) assessment for two out of 60 residents in the survey sample, Resident #192 and Resident #129.
  14. 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) January 22, 2024
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to develop a complete baseline care plan for one of 60 residents in the survey sample, Resident #347.
  15. D
    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, isolated · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility document review, it was determined the facility staff failed to review and revise the care plans for three of 60 residents in the survey sample, Resident #24, Resident #120 and Resident #145.
  16. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined the facility staff failed to meet professional standards for one of 60 residents, Resident #49.
  17. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · 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) January 22, 2024
    Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to provide ADL (activities of daily living) care to a dependent resident to one of 60 residents in the survey sample, Resident #2.
  18. 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 · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, the facility staff failed to provide care and services for a urinary catheter for one of 60 residents in the survey sample, Resident #23.
  19. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, the facility staff failed to provide respiratory care and services for one of 60 residents in the survey sample, Resident #344.
  20. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, the facility staff failed to implement a complete pain management program for one of 60 residents in the survey sample, Resident #23.
  21. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide trauma informed care for one of 60 residents in the sample Resident #115.
  22. 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.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined the facility staff failed to implement bed rail requirements for three out of 60 residents in the survey sample, Residents # 49, Resident #58 and Resident #60.
  23. D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to ensure sufficient CNA (certified nursing assistant) staffing to provide care and services for one of 60 residents in the survey sample, Resident #2.
  24. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care for one of 60 residents in the sample, Resident #115.
  25. D
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F745 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide medically related social services for one of 60 residents in the sample Resident #115.
  26. 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) January 22, 2024
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide pharmacy services in a timely manner for one of 60 residents, Resident #49.
February 21, 2020Standard inspection · 11 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, staff interviews, family interview, clinical record review and facility document review the facility staff failed to prevent an avoidable fall for 1 of 59 residents in the survey sample, Resident #121. During the provision of care by staff, the resident fell off the bed and sustained left hip and left femur fractures. Following the fall, the facility staff did a root cause analysis and implemented a plan of correction with a completion date of 1/15/2020. No other falls during provision of care was identified after the completion date. The deficiency is cited as a level 3 isolated, past non-compliance.
  2. E
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 6, 2020
    Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review the facility staff failed to ensure 1 of 59 residents in the survey sample, Resident #122's choice to receive showers was honored. Resident #122 was dependent on staff for the provision of showers and had not received a shower from 12/6/19 through 2/19/20.
  3. E
    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, pattern · Corrected (the home has a date of correction) April 6, 2020
    Inspectors wroteBased on record review and staff interviews, the facility staff failed to ensure eight residents (Residents #48, #135, #39, #46, #77, #138, #52, and #91, were given the opportunity to formulate an advance directive in the survey sample of 59 residents.
  4. E
    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, pattern · Corrected (the home has a date of correction) April 6, 2020
    Inspectors wroteBased on clinical record reviews, staff interviews, and facility documentation review; the facility's staff failed to covey a copy of the resident's comprehensive care plan goals to the receiving facility for 8 of 59 residents (Resident #80, #40, #125, #43, #63, #121, #3 and #77) in the survey sample. 1. The facility staff failed to convey the summary and goals of the comprehensive plan of care upon transfer/discharge to the local hospital for Resident #80. Resident #80 was admitted to the nursing facility on 10/28/11 with diagnoses that included high blood pressure, Alzheimer's Disease and diabetes mellitus. Resident #80's most recent Minimum Data Set (MDS) was a quarterly assessment and coded the resident with short and long term memory problems and severely impaired in the cognitive skills for daily decision making. [...]
  5. 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) April 6, 2020
    Inspectors wroteBased on staff interviews, clinical record review and facility documentation review, the facility staff failed to revise 5 (Resident #52, #175, #100, #122 and #165) comprehensive person-centered care plans of 59 residents in the survey sample.
  6. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2020
    Inspectors wroteBased on observation, resident interview and staff interviews the facility staff failed to maintain a clean, sanitary and homelike environment for 1 of 59 residents (Resident #109) in the survey sample.
  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) April 6, 2020
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that facility staff failed to provide evidence that the written bed hold notification/policy was sent with three of 59 sampled residents, Residents #3, #77, and #63, upon transfer to the hospital.
  8. 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) April 6, 2020
    Inspectors wroteBased on medical record review, staff interviews, and facility document review the facility staff failed to ensure a baseline care plan was person-centered to include hospice services for 1 of 59 Residents in the Survey Sample, Resident #442.
  9. 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 · Corrected (the home has a date of correction) April 6, 2020
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review; it was determined that facility staff failed to provide treatment and services to promote the healing of a pressure ulcer for two of 59 residents in the survey sample, Resident #189 and Resident #77. 1. For Resident #189, facility staff failed to thoroughly assess a healing stage 3 pressure ulcer* to her second right toe upon admission to the facility; and, failed to provide treatment in a timely manner. 2. For Resident #77, facility staff failed to apply physician ordered heel boots for the treatment and prevention of pressure ulcers.
  10. 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) April 6, 2020
    Inspectors wroteBased on medication pass observations, staff interviews, facility document review and clinical record review the facility staff failed to ensure they were free from a medication error rate of 5 % or greater. There were 28 observed medication opportunities with 2 errors (Resident #41 and #58), resulting in a 7.14% medication error rate.
  11. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2020
    Inspectors wroteBased on observation, staff interview, and facility document review, it was determined the facility staff failed to ensure one of six medication carts were free from expired medications; the second medication cart on [NAME] Unit.
August 3, 2018Standard inspection · 14 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) September 16, 2018
    Inspectors wroteBased on record review, staff interviews, and family interviews, the facility staff failed to ensure the residents environment remained as free of accident hazards and receive adequate supervision and assistive devices to prevent accidents for two residents (Resident #87 and #47) in the survey sample of 52 residents. 1. The facility identified Resident #87 was a high fall risk. The facility developed a plan of care to prevent avoidable injuries, which included the use of a Hoyer lift with two staff assistance for transfer. The resident was transferred on 02/16/18 by one staff member doing a stand pivot transfer instead of using a Hoyer lift. As a result, Resident #87 sustained an avoidable Right Femur Fracture resulting in harm. 2. [...]
  2. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) September 16, 2018
    Inspectors wroteBased on observation, resident interview, staff interviews, clinical record review, and review of the facility's policy, the facility staff failed to ensure that pain management was provided for 1 of 52 residents (Resident #136), in the survey sample. The facility staff failed to provide effective pain management to Resident #136, by not having the ordered narcotic analgesic (Hydrocodone/APAP tablet 5/325 milligrams) readily available for administration, resulting in periods of unnecessary and excruciating pain, constituting harm.
  3. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 16, 2018
    Inspectors wroteBased on observations, clinical record review, staff and resident interviews, the facility staff failed to ensure a program of activities were in place for 1 of 51 residents (Resident #110) in the survey. Resident #110 was not provided one-to-one activities based on the comprehensive plan of care for five months.
  4. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 16, 2018
    Inspectors wroteBased on clinical record review, staff interviews and facility documentation, the facility staff failed to ensure Medicare Beneficiary Notices in accordance with applicable Federal regulations, were issued to 2 of 52 residents (Resident #102 and 152) in the survey sample. 1. The facility staff failed to issue an Advanced Beneficiary Notice (ABN) letter to Resident #102 who was discharged from skilled services with Medicare days remaining. 2. The facility staff failed to issue an Advanced Beneficiary Notice (ABN) letter to Resident #152 who was discharged from skilled services with Medicare days remaining.
  5. 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 16, 2018
    Inspectors wroteBased on resident record review, staff interviews and facility document review, the facility failed to notify the Office of the State Long-Term Care Ombudsman in writing of hospital discharges for 2 of 52 residents in the survey sample, Resident #142 and #44. 1. The facility staff failed to notify the Office of the State Long-Term Care Ombudsman of Resident #142's transfer and admission to the hospital on 1/4/18. 2. The facility staff failed to notify the Office of the State Long-Term Care Ombudsman of Resident #44 being transferred and admitted to the hospital.
  6. 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) September 16, 2018
    Inspectors wroteBased on clinical record review, staff interviews and facility documentation, the facility staff failed to issue bed hold notices for 2 (Residents #133 and #142) of 52 residents in the survey sample. 1. The facility staff failed to ensure Resident #133 or resident representative was issued a written notice of the bed hold policy prior to transfer to the local hospital. 2. The facility staff failed to provide Resident #142 or resident's representative with a written or a copy of the bed hold policy.
  7. 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 16, 2018
    Inspectors wroteThe facility staff failed to obtain PASARR level I assessments prior to admission for two residents (Resident #17 and #85) in the survey sample of 52.
  8. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 16, 2018
    Inspectors wroteBased on observations, staff interview, and clinical record review, the facility staff failed to ensure 1 out of 52 residents (Resident #37) in the survey sample who were unable to independently carry out activities of daily (ADL), received necessary services to maintain grooming. 1. The facility staff failed to ensure Resident #37 was provided ADL care to include removal of long facial hair to her lower lip and chin.
  9. 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) September 16, 2018
    Inspectors wroteBased on staff interview, clinical record review, and review of the Hospice policy; the facility staff failed to ensure the Hospice Agency provided a written agreement describing the provision of services for 1 of 52 residents (Resident #101), in the survey sample. The facility staff failed to ensure the Hospice Agency provided the facility staff with the coordinated plan of care for Resident #101, to identify which services the Hospice Agency would provide, when the services would be provided, the communication process, and when or why the nursing facility staff should notify the Hospice Agency.
  10. 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 · Corrected (the home has a date of correction) September 16, 2018
    Inspectors wroteBased on observations, staff interviews and facility documentation review the facility staff failed ensure 1 of 52 residents (Resident #151) in the survey sample's indwelling Foley catheter tubing remained off the floor. The facility staff failed to provide appropriate indwelling Foley catheter care.
  11. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 16, 2018
    Inspectors wroteBased on information obtain during a complaint investigation, resident interview, staff interviews, and facility documentation review, the facility staff failed to ensure 1 of 52 residents was free from unnecessary drugs for (Resident #232), in the survey sample. The facility staff administered excess doses of Prednisone totaling of 50 mg everyday to Resident #232, from 12/17/17 through 12/20/17.
  12. 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) September 16, 2018
    Inspectors wroteBased on information obtain during a complaint investigation, resident interview, staff interviews, and facility documentation review, the facility staff failed to ensure 1 of 52 residents was free from significant medication error for (Resident #232), in the survey sample. The facility staff abruptly discontinued administration of Prednisone to Resident #232, against the prescriber's order and without tapering (a gradual dose reduction) a medication which can result in withdrawal syndrome.
  13. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 16, 2018
    Inspectors wroteBased on observation, staff interviews and facility documentation review the facility staff failed to ensure medications were stored in a secured location for 1 (Resident #142) of 52 residents in the survey sample. The facility staff failed to ensure the following medications, Cortizone 10 liquid and Arctic Ice Analgesic gel were stored in a secured location. The medications were observed on Resident #142's overbed table.
  14. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 16, 2018
    Inspectors wroteBased on staff interview, clinical record review, and review of the Hospice policy; the facility staff failed to ensure the Hospice Agency provided a written agreement describing the provision of services for 1 of 52 residents (Resident #101), in the survey sample. The facility staff failed to ensure the Hospice Agency provided the facility staff with the coordinated plan of care for Resident #101, to identify which services the Hospice Agency would provide, when the services would be provided, the communication process, and when or why the nursing facility staff should notify the Hospice Agency.

Fire safety inspections

8 fire safety citations on file: 4 on December 8, 2023, 4 on August 3, 2018.

Every fire safety citation8 citations
  1. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 8, 2023 · Corrected (the home has a date of correction)
  2. D
    Install corridor and hallway doors that block smoke.
    K 363 · December 8, 2023 · Corrected (the home has a date of correction)
  3. D
    Meet other general requirements that are deficient.
    K 500 · December 8, 2023 · Corrected (the home has a date of correction)
  4. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · December 8, 2023 · Corrected (the home has a date of correction)
  5. C
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · August 3, 2018 · Corrected (the home has a date of correction)
  6. C
    Establish roles under a Waiver declared by secretary.
    E 26 · August 3, 2018 · Corrected (the home has a date of correction)
  7. C
    Meet other general requirements that are deficient.
    K 300 · August 3, 2018 · Corrected (the home has a date of correction)
  8. B
    Provide properly protected cooking facilities.
    K 324 · August 3, 2018 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
August 25, 2025Fine $10,358

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)3.383.763.86
Registered nurses0.550.690.69
All nursing staff on weekends2.973.293.42
Nurse aides1.77
Licensed practical nurses1.07
Nursing staff turnover (share who left in a year)not reported48.1%45.8%
Registered nurse turnovernot reported48.2%42.9%
Administrators who leftnot reported

CMS expects 3.74 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 3.55 on weekdays and 2.97 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 1.12 in April to June 2025 to 3.38 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.380.553.552.97 8.5%0 of 90198
Oct to Dec 20253.360.533.522.97 13.6%0 of 92199
Jul to Sep 20253.360.493.522.94 13.8%0 of 92196
Apr to Jun 20251.120.161.171.01 12.3%60 of 91197
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Virginia

JobMedianMiddle halfEmployed
Virginia, all employers
CNAs (nursing assistants)$20.77$17.80 to $22.5640,580
LPNs and LVNs$31.21$28.66 to $35.8415,550
Registered nurses$45.00$38.51 to $49.5377,490
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Riverside Lifelong H & R Warwick Forest. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
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Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

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
14.714.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.21.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.33.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.215.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.94.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
20.314.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.722.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.811.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.31.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Riverside Lifelong H & R Warwick Forest's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (58.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

58.0% this home

Better than the national rate

US median of homes 51.5% · Virginia: 101 better, 22 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 430 eligible stays.

Potentially preventable readmissions

9.9% this home

No different from the national rate

US median of homes 10.7% · Virginia: 1 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 404 eligible stays.

Infections that led to a hospital stay

5.0% this home

No different from the national rate

US median of homes 7.1% · Virginia: 2 better, 8 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 250 eligible stays.

Self-care and mobility at discharge

37.0% this home

Median of homes: Virginia60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 219 residents counted.

Falls with major injury

0.4% this home

Median of homes: Virginia0.7% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 264 residents counted.

New or worsened pressure ulcers

0.4% this home

Median of homes: Virginia2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 264 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Virginia97.8% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 51 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: PATRICK HENRY HOSPITAL, INC.. CMS links this home to Riverside Health System, a group of 6 nursing homes averaging 3.5 stars overall.

NameRoleTypeShareSince
Riverside Healthcare Association, Inc.5% or greater direct ownership interestOrganization05/03/2010
Nelson, LinwoodW-2 managing employeeIndividual10/01/2019
Alewynse, JoyceCorporate directorIndividual03/01/2022
Bates, JaredCorporate directorIndividual03/01/2022
Haywood, BarbaraCorporate directorIndividual01/01/2019
Houser, JasonCorporate directorIndividual01/01/2019
Smith, ConwayCorporate directorIndividual06/01/2008
Smith, KirbyCorporate directorIndividual06/01/2008
Tiller, BrookeCorporate directorIndividual03/01/2022
Verser, JosephCorporate directorIndividual03/01/2022
Zeidler, JeanneCorporate directorIndividual01/01/2019
Austin, WalterCorporate officerIndividual07/02/2012
Dacey, MichaelCorporate officerIndividual01/01/2019
Downey, WilliamCorporate officerIndividual06/01/2008
Heckler, EdwardCorporate officerIndividual01/01/2019

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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 21 problems in this area, most recently on August 25, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 13 problems in this area, most recently on August 25, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on August 25, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 9 problems in this area, most recently on August 25, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.97 hours per resident per day, below the Virginia average of 3.29.

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 Riverside Lifelong H & R Warwick Forest's Medicare star rating?
CMS rates Riverside Lifelong H & R Warwick Forest 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Riverside Lifelong H & R Warwick Forest get at its last inspection?
26 health deficiencies at the standard inspection on December 8, 2023. The Virginia average is 14.3.
Has Riverside Lifelong H & R Warwick Forest been fined?
Yes. CMS lists 1 fine totaling $10,358 in the last three years.
Does Riverside Lifelong H & R Warwick Forest 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 Riverside Lifelong H & R Warwick Forest?
CMS lists 15 owners and managers, and links the home to Riverside Health System. Legal business name: PATRICK HENRY HOSPITAL, INC..

Sources

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