Riverside Lifelong Health & Rehab Smithfield
101 John Rolfe Drive, Smithfield, VA 23430 · Isle of Wight County · (757) 357-3282
34 certified beds, about 30 residents a day · Non profit - Corporation · Medicare since 1998
Last standard inspection more than 2 years ago Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495332 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 12, 2024, inspectors cited 5 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 17 health citations since March 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.47 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 1.04 of those hours.
59.6% of nursing staff left within the year CMS measured (Virginia average 48.1%).
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.
303/19
802/21
604/24
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 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
1E
1F
Potential for minimal harm
0A
0B
0C
April 12, 2024Standard inspection, Complaint inspection · 6 citations
- E Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Inspectors wroteBased on observations and information obtain during the Resident Council interview, the facility staff failed to ensure residents of the facility were aware and knew the location of the list of names, addresses (mailing and email), and telephone numbers of all pertinent State agencies and advocacy groups.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on staff interviews, clinical record review and facility documentation review, the facility staff failed to ensure 1 of 27 residents in the survey sample, (Resident #5) were given the opportunity to formulate an advance directive.
- 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 a family interview, staff interviews, and clinical record review, the facility staff failed to review and revise the person-centered care plan to include hospice services for 1 of 27 residents (Resident #11), in the survey sample.
- 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 staff interviews, the facility staff failed to ensure a multi-dose vial of Tuberculin, a purified protein derivative was dated when opened, to ensure it was discarded in 30 days and did not remain available for administration.
- 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.
Inspectors wroteBased on a family interview, staff interview, clinical record review, and review of the Hospice policy; the facility staff failed to a method of communication after visits were available to the facility staff and to ensure hospice services were coordinated to ensure hospice staff assisted with meal consumption for 1 of 27 residents (Resident #11), in the survey sample.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and staff interview, the facility's staff failed to ensure Enhanced Barrier Precaution signage was initiated to prevent the spread of infection and or hospitalizations for 3 of 27 residents (Resident #14, Resident #15, and Resident#16), in the survey sample.
February 25, 2021Standard inspection · 8 citations
- 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 information gleamed during a complaint investigation, a complainant interview, staff interviews, clinical record review, and review of facility documents, the facility's staff failed to notify the resident representative of a change in condition for 1 of 20 residents (Resident #21), in the survey sample.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record review, staff interview and facility documentation, the facility staff failed to ensure Medicare Beneficiary Notices in accordance with applicable Federal regulations, were issued to 2 of 3 residents (Resident #2 and Resident #13) out of 20 in the survey sample. The facility staff failed to issue an Advanced Beneficiary Notice (ABN) letter to Resident #2 who was discharged from skilled services with Medicare days remaining.
- 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.
Inspectors wroteBased on clinical record review, staff interviews and facility documentation review, the facility staff failed to convey the summary of goals of the comprehensive plan of care upon transfer/discharge for 1 of 20 residents (Resident #23) in the survey sample.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review, staff interviews, and facility document review the facility staff failed to notify the office of the State Long-Term Care Ombudsman in writing of applicable discharges for 1 of 20 residents in the survey sample (Resident #23).
- 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.
Inspectors wroteThe findings include: The facility staff failed to include a bed-hold policy at the time of discharge to the local hospital on [DATE] or as soon as possible to the actual time of transfer for Resident #23. Resident #23 was admitted to the nursing facility on [DATE] with diagnoses that included lung and bladder cancer. Resident #23's most recent Minimum Data Set (MDS) assessment was an Annual dated [DATE] and coded the resident on the Brief Interview for Mental Status (BIMS) with a score of 00 out of a possible score of 15 which indicated the resident was severely impaired in the skills for daily decision making. The nurse's notes dated [DATE] indicated the nurse was called to the room by other clinical staff members. Resident was sitting in a wheelchair in obvious distress. [...]
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on information gleamed during a complaint investigation, a complainant interview, staff interviews, and clinical record review, the facility's staff failed to communicate pertinent information to the resident and resident representative at the time of an anticipated discharge, for 1 of 20 residents (Resident #21), in the survey sample.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on information gleamed during a complaint investigation, a complainant interview, staff interviews, and clinical record review, the facility's staff failed to ensure a resident with pressure ulcers received necessary treatment and services to promote healing for 1 of 20 residents (Resident #21), in the survey sample.
- D Provide appropriate foot care.
Inspectors wroteBased on observations, staff interviews and clinical record review the facility staff failed to ensure one resident (Resident #15, in the survey sample of twenty Residents) who is unable to carry out activities of daily living receives the necessary services to maintain toenail care. The facility staff failed to ensure that podiatry services were provided to Resident #15.
March 8, 2019Standard inspection · 3 citations
- F 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 interviews, and review of the facility's policy, the facility staff failed to ensure the food was prepared, distributed and served under sanitary conditions.
- 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.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and review of the facility's policy the facility staff failed to provide the appropriate care and services to prevent indwelling catheter complications for 1 of 17 residents (Resident #5), in the survey sample. The facility staff failed to assure Resident #5's indwelling catheter was anchored/secured.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews and facility document review the facility staff failed to follow infection prevention practices to ensure a safe and sanitary environment and to help prevent the development and transmission of communicable diseases and infections during the dispensing of ice to residents. The facility staff follow infection control practices to ensure a safe and sanitary environment and to help prevent the development and transmission of communicable diseases and infections during the dispensing of ice to residents on 3/7/19.
Fire safety inspections
15 fire safety citations on file: 1 on April 12, 2024, 11 on February 25, 2021, 3 on March 8, 2019.
Every fire safety citation15 citations
- D Add automatic sprinklers after major renovation.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure proper usage of power strips and extension cords.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- D Provide a written emergency evacuation plan.
- D Have restrictions on the use of highly flammable decorations.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C Address patient/client population and determine types of services needed.
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) | 4.47 | 3.76 | 3.86 |
| Registered nurses | 1.04 | 0.69 | 0.69 |
| All nursing staff on weekends | 4.18 | 3.29 | 3.42 |
| Nurse aides | 2.30 | ||
| Licensed practical nurses | 1.13 | ||
| Nursing staff turnover (share who left in a year) | 59.6% | 48.1% | 45.8% |
| Registered nurse turnover | 60.0% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.76 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 4.58 on weekdays and 4.18 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.20 in April to June 2025 to 4.47 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 | 4.47 | 1.04 | 4.58 | 4.18 | 0.0% | 0 of 90 | 30 |
| Oct to Dec 2025 | 4.50 | 0.96 | 4.61 | 4.23 | 1.0% | 0 of 92 | 31 |
| Jul to Sep 2025 | 4.43 | 0.70 | 4.55 | 4.13 | 7.0% | 0 of 92 | 30 |
| Apr to Jun 2025 | 4.20 | 0.88 | 4.39 | 3.71 | 6.3% | 0 of 91 | 31 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.2 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.8 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.6 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.3 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.8 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.8 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.1 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.5 | 1.8 |
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.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Riverside Healthcare Association, Inc. | 5% or greater direct ownership interest | Organization | 05/03/2010 | |
| Rector & Visitors of the University of Virginia | 5% or greater indirect ownership interest | Organization | 5% | 07/10/2023 |
| Riverside Integrated Services Inc | 5% or greater indirect ownership interest | Organization | 95% | 07/10/2023 |
| Alewynse, Joyce | Corporate director | Individual | 03/01/2022 | |
| Bates, Jared | Corporate director | Individual | 03/01/2022 | |
| Haywood, Barbara | Corporate director | Individual | 01/01/2014 | |
| Smith, Conway | Corporate director | Individual | 05/03/2010 | |
| Smith, Kirby | Corporate director | Individual | 05/03/2010 | |
| Tiller, Brooke | Corporate director | Individual | 03/01/2022 | |
| Verser, Joseph | Corporate director | Individual | 03/01/2022 | |
| Zeidler, Jeanne | Corporate director | Individual | 01/01/2019 | |
| Austin, Walter | Corporate officer | Individual | 07/02/2012 | |
| Dacey, Michael | Corporate officer | Individual | 01/01/2019 | |
| Downey, William | Corporate officer | Individual | 05/03/2010 | |
| Heckler, Edward | Corporate officer | Individual | 01/01/2019 | |
| Houser, Jason | Corporate officer | Individual | 01/01/2019 | |
| Nelson, Linwood | Corporate officer | Individual | 01/01/2025 | |
| Nelson, Linwood | Operational/managerial control | Individual | 01/01/2025 |
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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on April 12, 2024: "Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 25, 2021: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 12, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 12, 2024: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Newport Post Acute Newport News, 8.7 mi · 4 of 5 stars · 27 citations
- Atlantic View Post Acute Newport News, 9.2 mi · 2 of 5 stars · 29 citations
- Newport News Nursing & Rehab Newport News, 10.1 mi · 1 of 5 stars · 71 citations
- Langley Post Acute Hampton, 10.7 mi · 3 of 5 stars · 24 citations
- Riverside Lifelong H & R Warwick Forest Newport News, 10.9 mi · 2 of 5 stars · 58 citations
- The Chesapeake Newport News, 11.5 mi · 3 of 5 stars · 28 citations
- Hampton Health & Rehab Center, LLC Hampton, 11.8 mi · 3 of 5 stars · 48 citations
- Old Dominion Rehabilitation and Nursing Newport News, 12.5 mi · 1 of 5 stars · 62 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 Riverside Lifelong Health & Rehab Smithfield's Medicare star rating?
- CMS rates Riverside Lifelong Health & Rehab Smithfield 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Riverside Lifelong Health & Rehab Smithfield get at its last inspection?
- 5 health deficiencies at the standard inspection on April 12, 2024. The Virginia average is 14.3.
- Has Riverside Lifelong Health & Rehab Smithfield been fined?
- CMS lists no fines in the last three years.
- Does Riverside Lifelong Health & Rehab Smithfield accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Riverside Lifelong Health & Rehab Smithfield?
- CMS lists 18 owners and managers, and links the home to Riverside Health System. Legal business name: PATRICK HENRY HOSPITAL, INC..
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.