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Riverside Lifelong Health & Rehabilitation Patri

6000 Patriots Colony Drive, Williamsburg, VA 23188 · James City County · (757) 220-9000

60 certified beds, about 50 residents a day · Non profit - Corporation · Medicare since 2003

Last standard inspection more than 2 years ago Part of a continuing care retirement community Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495369 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 22, 2024, inspectors cited 2 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 13 health citations since September 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.75 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.84 of those hours.

56.3% 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.

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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
3E
0F
Potential for minimal harm
0A
0B
0C
March 22, 2024Standard inspection · 2 citations
  1. 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 · Corrected (the home has a date of correction) May 20, 2024
    Inspectors wroteBased on observation, interview, and clinical record review the facility staff failed to provide medication administration that meets professional standards of care for 5 residents (Resident #11, #102, #99, #36, #34) in a survey sample of 17 residents.
  2. 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 · Corrected (the home has a date of correction) May 20, 2024
    Inspectors wroteBased on staff interview, facility documentation review, and clinical record review, the facility staff failed to ensure medications were available for administration for five residents (Residents #99, # 36, #34, #11, and #102) in a survey of 17 residents.
September 30, 2021Standard inspection · 3 citations
  1. 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) November 11, 2021
    Inspectors wroteBased on interview, facility documentation and clinical record review the facility staff failed to provide adequate bathing to 1 Resident (# 42) in a survey sample of 28 Residents.
  2. 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) November 11, 2021
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility documentation review, the facility staff failed to provide oxygen therapy consistent with infection control measures for 2 Residents (Resident # 36 and # 41) in a survey sample of 28 Residents.
  3. 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) November 11, 2021
    Inspectors wroteBased on observation, interview, and facility documentation the facility staff failed to properly store medications on 1 of the 3 medication carts also, for the month of September the facility did not check the temperatures of the medication refrigerator until 9/27/21.
September 5, 2019Standard inspection · 8 citations
  1. 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) October 11, 2019
    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 in 2 of 2 kitchens serving nursing home Residents.
  2. 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) October 11, 2019
    Inspectors wroteBased on staff interview, facility documentation review, and clinical record review the facility staff failed to issue an ABN (Advanced Beneficiary Notice) timely for one Resident (Resident #292) in a sample of 18 Residents.
  3. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2019
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed for 1 resident (Resident #39) in the survey sample of 18 residents, to implement their abuse policy for an injury of unknown origin. Specifically, they failed to report and investigate.
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2019
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed for 1 resident (Resident #39) in the survey sample of 18 residents, to report an injury of unknown origin to the State Survey Agency.
  5. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2019
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed for 1 resident (Resident #39) in the survey sample of 18 residents, to investigate an injury of unknown origin.
  6. 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) October 11, 2019
    Inspectors wroteBased on staff interview, facility documentation review, and clinical record review, the facility staff failed to provide one Resident (Residents #14) with physician ordered medications in a survey sample of 18 Residents.
  7. 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) October 11, 2019
    Inspectors wroteBased on staff interview, facility documentation review, and clinical record review, the facility staff failed to ensure one Resident was free from significant medication errors for one resident (Residents #14) in a survey sample of 18 Residents.
  8. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2019
    Inspectors wroteBased on observation, resident interview, staff interview, facility documentation review, and clinical record review, the facility staff failed to provide a diet to accommodate food preferences for 1 resident (Resident #342) in a sample size of 18 residents.

Fire safety inspections

6 fire safety citations on file: 2 on September 30, 2021, 4 on September 5, 2019.

Every fire safety citation6 citations
  1. D
    Ensure that gas containers are correctly designed and tested, and in locations that are labeled.
    K 905 · September 30, 2021 · Corrected (the home has a date of correction)
  2. D
    Have proper power supply for life support equipment.
    K 915 · September 30, 2021 · Corrected (the home has a date of correction)
  3. F
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · September 5, 2019 · Corrected (the home has a date of correction)
  4. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · September 5, 2019 · Corrected (the home has a date of correction)
  5. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · September 5, 2019 · Corrected (the home has a date of correction)
  6. D
    Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
    K 902 · September 5, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)3.753.763.86
Registered nurses0.840.690.69
All nursing staff on weekends3.243.293.42
Nurse aides1.63
Licensed practical nurses1.29
Nursing staff turnover (share who left in a year)56.3%48.1%45.8%
Registered nurse turnover38.5%48.2%42.9%
Administrators who left0

CMS expects 3.71 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 3.96 on weekdays and 3.24 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.77 in April to June 2025 to 3.75 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.750.843.963.24 9.6%7 of 9050
Oct to Dec 20254.040.904.253.52 4.5%0 of 9252
Jul to Sep 20254.110.884.313.60 9.3%0 of 9251
Apr to Jun 20253.770.853.973.26 11.0%0 of 9153
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.

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.

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
7.614.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.70.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.91.31.6
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
10.04.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
0.014.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
18.822.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.211.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.51.8

Owners and operators

Legal business name: PATRIOTS COLONY, 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 interestOrganization07/30/2004
Rector & Visitors of the University of Virginia5% or greater indirect ownership interestOrganization5%07/10/2023
Riverside Integrated Services Inc5% or greater indirect ownership interestOrganization95%07/10/2023
Nelson, LinwoodW-2 managing employeeIndividual10/01/2019
Adolphi, CeliaCorporate directorIndividual01/01/2016
Bates, JaredCorporate directorIndividual01/01/2016
Chase, MichaelCorporate directorIndividual01/01/2020
Courter, RobertCorporate directorIndividual01/01/2016
Morehouse, ThomasCorporate directorIndividual03/01/2022
Sherlock, DanielCorporate directorIndividual01/20/2003
Silvasy, StephenCorporate directorIndividual01/01/2016
Stowell, PhilipCorporate directorIndividual03/01/2022
Treolo, PaulCorporate directorIndividual01/01/2016
Austin, WalterCorporate officerIndividual07/02/2012
Dacey, MichaelCorporate officerIndividual01/01/2022
Downey, WilliamCorporate officerIndividual06/01/2007
Heckler, EdwardCorporate officerIndividual01/01/2019
Houser, JasonCorporate officerIndividual01/01/2022
Young, JulieOperational/managerial controlIndividual01/01/2022

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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on March 22, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on September 5, 2019: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on September 30, 2021: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on September 5, 2019: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.24 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 Health & Rehabilitation Patri's Medicare star rating?
CMS rates Riverside Lifelong Health & Rehabilitation Patri 4 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Riverside Lifelong Health & Rehabilitation Patri get at its last inspection?
2 health deficiencies at the standard inspection on March 22, 2024. The Virginia average is 14.3.
Has Riverside Lifelong Health & Rehabilitation Patri been fined?
CMS lists no fines in the last three years.
Does Riverside Lifelong Health & Rehabilitation Patri accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Riverside Lifelong Health & Rehabilitation Patri?
CMS lists 19 owners and managers, and links the home to Riverside Health System. Legal business name: PATRIOTS COLONY, INC..

Sources

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