672 Gloucester Road, Saluda, VA 23149 · Middlesex County · (804) 758-2363
60 certified beds, about 50 residents a day · Non profit - Corporation · Medicare and Medicaid since 2021
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495430 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 6, 2026, inspectors cited 9 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 31 health citations since March 2021, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $71,915 in the last three years; the largest was $71,915, and the latest is dated March 6, 2026.
Nurses and nurse aides worked 3.21 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.95 of those hours.
33.3% 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.
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.
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 31 health citations on file.
Inspectors wroteBased on observations, resident interview, staff interview, clinical record review, and facility document review, the facility failed to maintain an infection prevention and control program to provide a safe sanitary environment and assist in the prevention, development, and transmission of communicable disease and infection for all facility residents and the facility staff failed to utilize appropriate droplet precaution signage for (4) four of (6) six residents identified for droplet precautions, Resident #2, Resident #16, Resident #32, and Resident #48 and the facility staff failed to utilize appropriate personal protective equipment (PPE) for (2) two of (6) six residents on droplet precautions, Resident #16 and Resident #22 and the facility staff failed to utilize appropriate PPE during a medication pass and pour observation, Resident #48. [...]
Inspectors wroteBased on observation, staff interview, clinical record review and facility document review the facility staff failed to develop a comprehensive care plan that included enhanced barrier precautions for one of 22 current residents in the survey sample, resident #1.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to review and revise the comprehensive care plan for 1 of 22 current residents in the survey sample, Residents #48.
Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, the facility staff failed to follow provider orders for two of 22 residents in the survey sample, resident #3 and resident #31. 1. For Resident #3 the facility staff failed to follow a medical provider order for 1/2 side rails. Resident #3's diagnosis list indicated diagnoses that included, but were not limited to, muscle spasm, psychotic disorder with delusions, insomnia, abnormalities of gait and mobility, abnormal posture, extrapyramidal and movement disorder, difficulty in walking, and repeated falls. The most recent significant change minimum data set (MDS) with an assessment reference date (ARD) of 1/23/26 assigned the resident a brief interview for mental status (BIMS) summary score of 14 out of 15 for cognitive abilities, indicating Resident #3 was cognitively intact. [...]
Inspectors wroteBased on staff interview, clinical record review and facility document review the facility staff failed to ensure medications were available for administration for 2 of 22 current residents in the survey sample, Residents #9 and resident #31.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure laboratory results were reported to the provider for 2 of 22 current residents in the survey sample, Residents #6 and #31.
Inspectors wroteBased on staff interview and clinical record review the facility staff failed to file provider ordered laboratory test results in the clinical record for 2 of 22 current residents in the sample, Residents #6 and #31.
Inspectors wroteBased on staff interview and clinical record review the facility staff failed to ensure the clinical record was complete and accurate for 1 of 22 current residents in the survey sample resident #10.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to offer education for the declination of a pneumococcal vaccine for (1) one of (5) five residents sampled for immunization review, Resident #57.
Inspectors wroteBased on observations, staff interview, facility documentation review and clinical record review, the facility staff failed to provide privacy for 4 Residents (Resident #31, 20, 1, 29) in a survey sample of 26 Residents.
Inspectors wroteBased on observation, staff interviews, facility documentation and clinical record review, the facility staff failed to follow standards of nursing practice affecting 4 Residents (Resident #1, 20, 41 and 262) in a survey sample of 26 Residents.
Inspectors wroteBased on Resident and staff interviews, facility documentation review and clinical record review, the facility staff failed to notify the doctor and Resident representative timely of a Resident change in condition for 1 Resident (Resident #51) in a survey sample of 26 Residents.
Inspectors wroteBased on observation, staff interview, and facility documentation review the facility staff failed to maintain a comfortable and homelike environment for 1 Resident (Resident #31) in a survey sample of 26 Residents.
Inspectors wroteBased on observation, staff interview and clinical record review the facility staff failed to provide assistance to a Resident who was dependent upon staff assistance with activities of daily living for one Resident (Resident #29) in a survey sample of 26 Residents.
Inspectors wroteBased on observation, Resident and staff interviews, facility documentation review and clinical record review, the facility staff failed to provide vision services for 2 Residents (Resident #25 and #44) in a survey sample of 26 Residents.
Inspectors wroteBased on observation, Resident interview, staff interview, facility documentation review and clinical record review, the facility staff failed to apply palm protectors to prevent the development of skin breakdown for one (1) Resident (Resident #31) in a survey sample of 26 Residents.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility failed to provide medications as ordered by a physician for one Resident (Resident #262) in a sample of 26 residents.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation, the facility staff failed to ensure the medication error rate was less than 5%. There were 2 medication errors (medications crushed that are not to be crushed) in 32 opportunities, resulting in an 6.25% error rate.
Inspectors wroteBased on Resident and family interviews, facility documentation review and clinical record review, the facility staff failed to provide dental services for one Resident (Resident #44) in a survey sample of 26 Residents.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to provide a pneumococcal and/or influenza vaccine for 2 residents, Resident #53 and Resident #258, out of 5 residents reviewed for pneumococcal and influenza immunization.
Inspectors wroteBased on clinical record review, staff interview, and facility documentation review, the facility staff failed to conduct COVID-19 testing in accordance with the Centers for Disease Control and Prevention (CDC) guidance for 1 resident, Resident #258, in a sample of 5 Residents reviewed for COVID-19 testing.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to provide COVID-19 immunization for 1 resident, Resident #53, in a survey sample of 5 residents reviewed for COVID-19 immunization.
Inspectors wroteBased on observation, resident interviews, staff interviews, clinical record review, and facility documentation review, the facility staff failed to maintain resident dignity and privacy for 4 residents (Resident #18, Resident #250, Resident #23, Resident #24) in a sample of 27 residents.
Inspectors wroteBased on observation, resident interview, staff interview, facility documentation review, and clinical record review, the facility staff failed to mitigate accident hazards for 5 Residents (Resident #18, #23, #24, #27, #35) in a survey sample of 27 Residents. The facility staff failed to respond timely to Resident #18, #23, #24, #27, and #35's call for assistance, using the Resident call bell system.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to accurately complete an assessment for 1 Resident ( Resident # 1) in a survey sample of 27 residents.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure a comprehensive care plan for one resident (Resident # 1) in a survey sample of 27 residents.
Inspectors wroteBased on resident interview, staff interview, clinical record review, facility documentation review, the facility staff failed to review and revise the care plan for 1 resident (Resident # 1) in a survey sample of 27 residents.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide necessary service associated with wound care for 1 resident (Resident #23) in a sample size of 27 residents.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure the medication pour and pass observation error rate was less than 5% for 1 Resident (Residents #29) in a sample size of 27 residents. There were 2 medication errors (wrong dose and expired medication administered) in 34 opportunities resulting in an 5.88% error rate.
Inspectors wroteBased on observation, staff interview, facility documentation review, and clinical record review, the facility staff failed to ensure Residents are free to significant medication errors for 3 Residents, (Resident #38, #16, and #13) in a survey sample of 27 Residents. 1. For Resident #38, the facility staff administered expired insulin [DATE]-[DATE]. 2. Resident #16 received expired insulin three times daily from [DATE]-[DATE], and once on [DATE]. 3. The facility staff failed to ensure Resident #13 did not receive expired insulin.
Inspectors wroteBased on observation, staff interview and facility documentation review, the facility staff failed to date medications after opening them. Two medications were found to be opened, undated, and available for administration to Residents #38, and #13.
1 fire safety citation on file: 1 on December 20, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| March 6, 2026 | Fine | $71,915 |
| March 6, 2026 | Payment Denial | 6 days from June 6, 2026 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.21 | 3.76 | 3.86 |
| Registered nurses | 0.95 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.76 | 3.29 | 3.42 |
| Nurse aides | 1.56 | ||
| Licensed practical nurses | 0.70 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 48.1% | 45.8% |
| Registered nurse turnover | 10.0% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.37 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.39 on weekdays and 2.76 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.18 in April to June 2025 to 3.21 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.21 | 0.95 | 3.39 | 2.76 | 0.3% | 0 of 90 | 50 |
| Oct to Dec 2025 | 3.19 | 0.93 | 3.38 | 2.71 | 2.1% | 0 of 92 | 53 |
| Jul to Sep 2025 | 3.18 | 0.95 | 3.37 | 2.72 | 2.3% | 0 of 92 | 53 |
| Apr to Jun 2025 | 3.18 | 0.90 | 3.39 | 2.67 | 2.2% | 0 of 91 | 54 |
| 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.
Staff pay reports
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 17.1 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.8 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.6 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.1 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 20.5 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Riverside Lifelong Health & Rehabilitation Salud's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
57.1% this home
No different from 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. 57 eligible stays.
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. 64 eligible stays.
6.3% 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. 43 eligible stays.
67.5% 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. 40 residents counted.
0.0% 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. 44 residents counted.
1.9% 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. 44 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 6 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.
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 | 100% | 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 | 01/01/2016 | |
| Smith, Conway | Corporate director | Individual | 06/01/2008 | |
| Smith, Kirby | Corporate director | Individual | 06/01/2008 | |
| 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 | 06/01/2008 | |
| Heckler, Edward | Corporate officer | Individual | 01/01/2019 | |
| Houser, Jason | Corporate officer | Individual | 01/01/2019 | |
| Nelson, Linwood | Operational/managerial control | Individual | 01/01/2025 | |
| Dacey, Michael | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 09/02/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.