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Home / Virginia / Norfolk

Signature Healthcare of Norfolk

1005 Hampton Blvd, Norfolk, VA 23507 · Norfolk City County · (757) 623-5602

169 certified beds, about 151 residents a day · For profit - Corporation · Medicare and Medicaid since 1970

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495068 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 21, 2023, inspectors cited 9 health deficiencies (the Virginia average is 14.3, the national average 9.2).

Of 47 health citations since July 2018, 3 were rated as actual harm or immediate jeopardy to residents.

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

Nurses and nurse aides worked 3.41 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.

45.4% of nursing staff left within the year CMS measured (Virginia average 48.1%).

CMS links it to Signature Healthcare, an affiliated group of 67 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 47 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
23D
15E
2F
Potential for minimal harm
0A
3B
1C
July 21, 2023Standard inspection · 9 citations
  1. E
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 31, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to treat residents with respect and dignity by not ensuring the residents' rights to retain personal possessions for two of two sampled residents (Residents (R)52 and R82) reviewed for resident rights. This failure had the possibility to have a negative impact on numerous residents residing in the facility.
  2. 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) August 31, 2023
    Inspectors wroteBased on record review, interviews, and facility policy review, the facility failed to ensure residents received written discharge notices at the time of transfer to the hospital for four (Resident (R)119, R15, R64, and R70) of six residents reviewed for hospitalization.
  3. 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) August 31, 2023
    Inspectors wroteBased on family interview, staff interviews, clinical record review and facility documentation review the facility staff failed to invite 1 out of 50 resident (Resident #46) or their Responsible Representative (RR) to attend their person-centered care plan meeting.
  4. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 31, 2023
    Inspectors wroteBased on staff interviews, clinical record review and facility document review, the facility staff failed to ensure 1 of 59 residents (Resident #236) in the survey sample were free of significant medication errors.
  5. 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 · Corrected (the home has a date of correction) August 31, 2023
    Inspectors wroteBased on staff interviews, clinical record review, and facility documentation, the facility staff failed to immediately inform the physician of the need to assess/evaluate, start, or alter treatment when there was a significant deterioration in the resident's condition for 1 of 59 residents (Resident #46) 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) August 31, 2023
    Inspectors wroteBased on observations, resident interviews and staff interview, the facility staff failed to ensure the sink in Resident #120's room drained after use for 1 of 59 residents (Resident #120), in the survey sample.
  7. D
    Plan the resident's discharge to meet the resident's goals and needs.
    F660 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2023
    Inspectors wroteBased on a resident interview, staff interviews, and a clinical record review, the facility staff failed to assist and develop a discharge plan for a resident to make a successful discharge into the community after the initial option failed for 1 of 59 residents (Resident #114), in the survey sample.
  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) August 31, 2023
    Inspectors wroteBased on observation, resident interview, staff interviews, and a clinical record review, the facility staff failed to ensure a dependent resident's activities of daily living (ADL) were completed for 1 of 59 residents (Resident #1), in the survey sample.
  9. 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) August 31, 2023
    Inspectors wroteThe facility staff failed to provide the necessary care and services to monitor, assess and treat one resident timely who presented with sign and symptoms and complications of a Urinary Tract Infection (UTI) for 1 out 59 residents (Resident #46) in the survey sample.
October 24, 2019Standard inspection · 31 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on observation, staff interviews, clinical record review and review of the facility policy, the facility staff failed to ensure the necessary treatment, care and services were provided to prevent development of a pressure ulcer for 1 of 63 residents (Resident #11), resulting in harm. Resident #11's sacral pressure ulcer was not identified until it was found at a stage 3.
  2. F
    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, widespread · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on observations and staff interviews, the facility staff failed to handle, prepare and store food in a manner to prevent foodborne illness potentially affecting all residents.
  3. F
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on observations and staff interview, the facility staff failed to maintain an effective pest control system/program potentially affecting all residents.
  4. 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) December 8, 2019
    Inspectors wroteBased on clinical record reviews, staff interviews and facility documentation review, the facility staff failed to ensure residents were able to formulate advance directives, obtain advance directives, and/or send them upon transfer to hospital; and have these documents maintained in the clinical record, readily accessible to the direct care staff for 16 of 63 residents in the survey sample (#64, #95, #128, 78, #11, #51, #50, #15, #90, #42, #88, #61, #72, #61, #139 and #124).
  5. 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) December 8, 2019
    Inspectors wroteBased on clinical record reviews, staff interviews, clinical record review, facility documentation review and the facility's policy; the facility's staff failed to covey a copy of the resident's comprehensive care plan goals to the transferring facility for 10 of 63 residents (Resident #88, #112, #78, #64, #95, #128, #32, #11, #94, and #605) in the survey sample.
  6. E
    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, pattern · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on clinical record review, staff interviews, facility documentation review and the facility's policy; the facility's staff failed to provide written information to the resident and/or resident representative explaining how a resident's bed is held while the resident is absent from the facility due to hospitalization for 9 of 63 residents (Resident #88, #112, #78, #64, #95, #128, #11, #94 and #605) in the survey sample.
  7. 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) December 8, 2019
    Inspectors wroteBased on clinical record review, staff interview, family interview, facility documentation review and in the course of a complaint investigation, the facility staff failed to review and revise the person-centered care plan as their condition changed for 5 of 63 residents (Resident #88, #112, #11, #94 and #105) in the survey sample.
  8. 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) December 8, 2019
    Inspectors wroteBased on observation, resident record review, staff interviews and facility document review the facility staff failed to ensure dialysis services to include ongoing communication with the dialysis center was in place for 1 of 63 residents in the survey sample, Resident #18.
  9. E
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    F773 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on medical record review, staff interviews, resident interview and facility document review, the facility staff failed to ensure that the physician was notified of a positive urine culture in a timely manner for 1 of 63 residents in the survey sample, Resident #78.
  10. E
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on identified quality deficiencies determined during this survey the QAA (Quality Assessment and Assurance) committee failed to develop and implement an appropriate plan of action to correct repeat harm deficiencies in the area of Quality of Care-Pressure Injuries affecting 1 of 63 residents and potentially affecting all residents.
  11. E
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on staff interview the facility failed to ensure quarterly QAA (Quality Assessment and Assurance) meetings were conducted as required and required members were in attendance.
  12. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on observation and staff interviews the facility staff failed to ensure privacy curtains were maintained in a sanitary condition in three resident rooms which included 6 of 169 beds.
  13. D
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on resident interview, staff interviews and facility documentation, the facility staff failed to ensure 1 of 63 residents (Resident #20) in the survey sample had a patient trust fund account.
  14. 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) December 8, 2019
    Inspectors wroteBased on observation and staff interviews the facility staff failed to ensure care equipment, a wheelchair and gel cushion, were maintained in a clean and sanitary condition, for 1 of 63 residents in the survey sample, Resident #51.
  15. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on Facility Reported Incident, staff interview and the clinical record, facility staff failed to ensure that one of 63 residents was free from sexual abuse.
  16. 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) December 8, 2019
    Inspectors wroteBased on record review, staff interviews and facility document review, the facility staff failed to ensure that a Baseline Care Plan was developed for 1 of 63 resident's in the survey sample, Resident #155.
  17. D
    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, isolated · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on observations, staff interview, resident interview and clinical record review, the facility staff failed to address Activities of Daily Living (ADLs) in the comprehensive care plan for 1 of 63 resident's in the survey sample, Resident #403.
  18. 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 5, 2020
    Inspectors wroteBased on staff interviews, facility documentation review, and clinical record review, the facility staff failed to follow professional standards of nursing practices for 1 out of 63 residents (Resident #11) in the survey sample. The facility staff failed to obtain physician orders for a newly developed stage III sacral pressure ulcer for Resident #11.
  19. D
    Plan the resident's discharge to meet the resident's goals and needs.
    F660 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on medical record review, staff interviews and facility document review, the facility staff failed to ensure that Discharge Planning was implemented for 1 of 63 resident's in the survey sample, Resident #155.
  20. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on medical record review, staff interviews and facility document review the facility staff failed to ensure that a Discharge Summary was completed at discharge for 1 of 63 resident's in the survey sample, Resident #155.
  21. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 5, 2020
    Inspectors wroteBased on observation, staff interviews, family interview, clinical record review, facility document review and during the course of a complaint investigation the facility staff failed to ensure 1 of 16 residents in the survey sample was free from an avoidable fall from the bed during the provision of care, Resident #113.
  22. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to follow the physician orders to obtain weekly weights for 1 of 63 residents in the survey sample, Resident #94.
  23. 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) December 8, 2019
    Inspectors wroteBased on observations, staff interview, clinical record review, and in the course of a complaint investigation, the facility staff failed to follow the physician order for the oxygen flow rate for 1 of 63 residents in the survey sample, Resident #94.
  24. 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 5, 2020
    Inspectors wroteBased on clinical record review, staff interviews, and facility documentation review the facility's staff failed to ensure the medication Procrit (a red blood cell producing drug) was available to be administered as ordered to 1 of 63 residents (Resident #88) in the survey sample.
  25. 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) December 8, 2019
    Inspectors wroteBased on clinical record review, staff interviews, and facility documentation review the facility's staff failed to ensure 1 of 63 residents (Resident #88) in the survey sample was free from significant medication error.
  26. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on clinical record review, staff interviews and facility documentation review, the facility staff failed to ensure an accurate medical record for 1 of 63 residents (Resident #304) in the survey sample.
  27. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on observations, staff interviews, and clinical record review, the facility staff failed to follow infection control practices during wound care for 1 of 63 residents, Resident #32.
  28. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on observations, staff interviews, and facility document review the facility staff failed to ensure that the daily Nursing Staffing Information to include worked hours were posted daily potentially affecting all residents.
  29. B
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on observations and staff interviews, the facility staff failed to make 3 years of survey results and corresponding plans of correction available for review, in a 169 bed facility with a census of 156.
  30. B
    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 minimal harm, pattern · Corrected (the home has a date of correction) December 8, 2019
    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 1 of 63 residents in the survey sample, Resident #11.
  31. B
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) December 8, 2019
    Inspectors wroteBased on staff interview and clinical record review , it was determined that the facility staff failed to ensure that the assessment accurately reflected Resident #42's status, 1 of 63 resident's in the survey sample.
July 13, 2018Standard inspection · 7 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) August 8, 2018
    Inspectors wroteBased on observation, clinical record review, staff interview and facility documentation, the facility staff failed to prevent and identify in a timely manner, a pressure ulcer for 1 of 38 residents in the survey sample, Resident #108, resulting in harm. The facility staff failed to identify Resident #108 had developed a sacral pressure ulcer until it had advanced to a stage 3; measuring 6 centimeters by 4 centimeters by 0.1 centimeters, with dark pink tissue, slough, and right side rolled edges with maceration, which constitutes harm.
  2. 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) August 8, 2018
    Inspectors wroteBased on observations, clinical record review, staff and resident interviews and review of facility documentation, the facility staff failed to ensure 2 of 38 residents (#9 and # 25) in the survey sample were free of accident hazards 1. The facility staff failed to ensure Resident #9 was free of accident hazards due to the resident sustaining second degree burns to the upper chest from hot liquids (a cup of noodle soup), which constituted harm for this resident. 2. The facility staff failed to maintain an environment free from accident hazards for one resident (#25) in the survey sample when she ingested paint left accessible to her by a contracted painting company.
  3. E
    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, pattern · Corrected (the home has a date of correction) August 8, 2018
    Inspectors wroteBased on record review and staff interview, the facility staff failed to provide notice of Bed Hold and Reserve Bed Payment Policy for five Residents (Resident #6, #82, #89, #1, #108 ) in the survey sample. 1. The facility staff failed to provide notice of Bed Hold and Reserve Bed Payment Policy to Resident #6 upon discharge to the hospital. 2. The facility staff failed to provide notice of Bed Hold and Reserve Bed Payment Policy to Resident #82 upon discharge to the hospital. 3. The facility staff failed to provide notice of Bed Hold and Reserve bed Payment Policy to Resident #89 upon discharge to the hospital. 4. The facility staff failed to ensure that Resident #1 was made aware of the facility's bed-hold and reserve bed payment policy upon transfer/discharge to the hospital on 1/23/18 and 6/12/18. 5. [...]
  4. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 31, 2018
    Inspectors wroteBased on observation, staff interviews and facility documentation review the facility staff failed to ensure drugs and biological were secured and stored and discarded per professional guidelines. 1. The facility staff failed to discard 3 expired Culture Swab Collection and Transport System tubes that were located in the medication room on Unit 2. 2. The facility staff failed to discard an expired Lantus insulin located in the medication cart on Unit 2 (Long hall medication cart). 3. The facility staff failed to ensure a medication cart was locked when not in direct site of the nurse for 1 of 3 units (Unit 3). 4. The facility staff failed to assure medications were secure and inaccessible to Resident #139 who ingested anti-fungal ointment. 5. [...]
  5. 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) August 8, 2018
    Inspectors wroteBased on clinical record review, staff interviews and facility documentation review, the facility staff failed to ensure Medicare Beneficiary Notices in accordance with applicable Federal regulations, were issued to 2 of 38 residents (Resident #101 and 126) in the survey sample. 1. The facility staff failed to issue an Advanced Beneficiary Notice (ABN) letter to Resident #101 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 #126 who was discharged from skilled services with Medicare days remaining.
  6. 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) August 8, 2018
    Inspectors wroteBased on staff interviews, facility documentation review and clinical record review the facility staff failed to accurately complete each required section of the MDS (Minimum Data Set) assessment for 2 out of 38 residents (Resident #126 & #135) in the survey sample. 1. The facility staff failed to complete the required section of Resident #126 quarterly MDS: section C-Brief Interview for Mental Status. 2. The facility staff failed to code Resident #135 for hospice care.
  7. 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) August 8, 2018
    Inspectors wroteBased on clinical record review, observations, facility document review and staff interviews the facility failed to revise the Person Centered Care Plan's for 2 of 38 Resident's in the Survey Sample, Resident #34 and Resident #108. 1. The facility staff failed to revise Resident #34's Person Centered Care Plan in the area of Activities to include the resident's assessed activities of preference. 2. The facility staff failed to review effectiveness of interventions and review/revise Resident #108's person centered care plan after a fall resulting in a left hip fracture. The Findings Included: 1. Resident #34 is a [AGE] year old admitted to the facility 4/26/16 with diagnoses to include Depression and Dementia. The most recent Comprehensive Minimum Data Set (MDS) assessment was an Annual with an Assessment Reference Date (ARD) of 5/3/18. [...]

Fire safety inspections

18 fire safety citations on file: 4 on July 21, 2023, 14 on July 13, 2018.

Every fire safety citation18 citations
  1. E
    Provide properly protected cooking facilities.
    K 324 · July 21, 2023 · Corrected (the home has a date of correction)
  2. E
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · July 21, 2023 · Corrected (the home has a date of correction)
  3. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 21, 2023 · Corrected (the home has a date of correction)
  4. D
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · July 21, 2023 · Corrected (the home has a date of correction)
  5. D
    Install corridor and hallway doors that block smoke.
    K 363 · July 13, 2018 · Corrected (the home has a date of correction)
  6. D
    Have proper medical gas storage and administration areas.
    K 923 · July 13, 2018 · Corrected (the home has a date of correction)
  7. C
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · July 13, 2018 · Corrected (the home has a date of correction)
  8. C
    Conduct risk assessment and an All-Hazards approach.
    E 6 · July 13, 2018 · Corrected (the home has a date of correction)
  9. C
    Address patient/client population and determine types of services needed.
    E 7 · July 13, 2018 · Corrected (the home has a date of correction)
  10. C
    Develop Emergency Preparedness policies and procedures.
    E 13 · July 13, 2018 · Corrected (the home has a date of correction)
  11. C
    Address subsistence needs for staff and patients.
    E 15 · July 13, 2018 · Corrected (the home has a date of correction)
  12. C
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · July 13, 2018 · Corrected (the home has a date of correction)
  13. C
    Establish policies and procedures for sheltering.
    E 22 · July 13, 2018 · Corrected (the home has a date of correction)
  14. C
    Establish roles under a Waiver declared by secretary.
    E 26 · July 13, 2018 · Corrected (the home has a date of correction)
  15. C
    Provide family notifications of emergency plan.
    E 35 · July 13, 2018 · Corrected (the home has a date of correction)
  16. C
    Establish emergency prep training and testing.
    E 36 · July 13, 2018 · Corrected (the home has a date of correction)
  17. C
    Establish staff and initial training requirements.
    E 37 · July 13, 2018 · Corrected (the home has a date of correction)
  18. C
    Implement emergency and standby power systems.
    E 41 · July 13, 2018 · 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)3.413.763.86
Registered nurses0.470.690.69
All nursing staff on weekends3.063.293.42
Nurse aides2.11
Licensed practical nurses0.83
Nursing staff turnover (share who left in a year)45.4%48.1%45.8%
Registered nurse turnover18.2%48.2%42.9%
Administrators who left2

CMS expects 3.50 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 3.56 on weekdays and 3.06 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.17 in April to June 2025 to 3.41 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.410.473.563.06 4.0%0 of 90151
Oct to Dec 20253.330.443.482.94 1.9%0 of 92154
Jul to Sep 20253.230.433.412.76 0.0%0 of 92155
Apr to Jun 20253.170.443.372.68 3.1%0 of 91156
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
12.214.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.80.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.61.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.83.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.61.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.115.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.54.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.614.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
18.922.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.411.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.51.8

Owners and operators

Legal business name: LP NORFOLK LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
Shc LP Holdings LLC5% or greater direct ownership interestOrganization100%08/01/2014
Jjla LLC5% or greater indirect ownership interestOrganization10%08/01/2014
Lpsnf LLC5% or greater indirect ownership interestOrganization72%08/01/2014
Wheaten LLC5% or greater indirect ownership interestOrganization6%08/01/2014
Steier III, Elmer5% or greater indirect ownership interestIndividual10%08/01/2014
Drake, CieW-2 managing employeeIndividual12/24/2023
Harrison, JohnCorporate officerIndividual08/01/2014

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 13 problems in this area, most recently on July 21, 2023: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 12 problems in this area, most recently on July 21, 2023: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on July 21, 2023: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on July 21, 2023: "Ensure that residents are free from significant medication errors."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.06 hours per resident per day, below the Virginia average of 3.29.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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 Signature Healthcare of Norfolk's Medicare star rating?
CMS rates Signature Healthcare of Norfolk 3 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Signature Healthcare of Norfolk get at its last inspection?
9 health deficiencies at the standard inspection on July 21, 2023. The Virginia average is 14.3.
Has Signature Healthcare of Norfolk been fined?
CMS lists no fines in the last three years.
Does Signature Healthcare of Norfolk 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 Signature Healthcare of Norfolk?
CMS lists 7 owners and managers, and links the home to Signature Healthcare. Legal business name: LP NORFOLK LLC.

Sources

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