What is Southampton Memorial Hosp's Medicare star rating?

CMS rates Southampton Memorial Hosp 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Southampton Memorial Hosp get at its last inspection?

3 health deficiencies at the standard inspection on September 22, 2023. The Virginia average is 14.3.

Has Southampton Memorial Hosp been fined?

CMS lists no fines in the last three years.

Does Southampton Memorial Hosp 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 Southampton Memorial Hosp?

CMS lists 41 owners and managers. Legal business name: BON SECOURS MERCY HEALTH FRANKLIN LLC.

Southampton Memorial Hosp: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on September 22, 2023, inspectors cited 3 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 19 health citations since October 2018 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 4.01 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 1.19 of those hours.

31.6% of nursing staff left within the year CMS measured (Virginia average 48.1%).

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.

810/18

802/20

309/23

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 19 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

16D

Potential for minimal harm

September 22, 2023Standard inspection · 3 citations

E

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, pattern · Corrected (the home has a date of correction) October 31, 2023

Inspectors wroteBased on resident interviews, staff interviews and clinical record review, the facility staff failed to provide personal care to include showers for 2 out of 38 residents (Resident #12 and #47) who were unable to independently carry out activities of daily living (ADL) care.
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) October 31, 2023

Inspectors wroteBased on observations, staff interview, and a clinical record review, the facility staff failed to revise the Person-Centered care plan as the Resident's condition changed for 1 of 38 residents (Resident 26), in the survey sample.
D

Keep complete, dated laboratory records in the resident's record.

F775 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2023

Inspectors wroteBased on record review and staff interview the facility failed to file clinical laboratory reports in the resident's clinical record and did not ensure laboratory reports contained the name and address of the testing laboratory. This affected one of 5 residents (Resident (R) 43) reviewed for unnecessary medication reviews.

February 12, 2020Standard inspection · 8 citations

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) March 27, 2020

Inspectors wroteBased on staff interview, facility document review and clinical record review it was determined that facility staff failed to ensure that a copy of an advance directive was accessible on the chart for 1 resident (Resident #53); and failed to offer resources to formulate an advance directive for 1 resident and/or representative of 38 residents in the survey sample, (Resident #25); and the facility staff failed to have an Advance Directive policy/procedure.
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) March 27, 2020

Inspectors wroteBased on staff interview and clinical record review it was determined that facility staff failed to send care plan goals for 4 residents (Resident #33, #53, #64 & #24) of 38 residents in the survey sample when discharged to the hospital.
D

Reasonably accommodate the needs and preferences of each resident.

F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 27, 2020

Inspectors wroteBased on observations, staff interview and clinical record review the facility staff failed to provide reasonable accommodation for 1 of 38 residents in the survey sample, Resident #250. The facility failed to ensure the resident had access to the call bell system.
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) March 27, 2020

Inspectors wroteBased on record review, staff and individual interviews the facility staff failed to accurately assess one resident (Resident #67) in the survey sample of 38 residents for tobacco use.
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) March 27, 2020

Inspectors wroteBased on review of the clinical record, Resident and staff interviews, the facility failed to provide advanced notice of the Care Plan Conference for one resident, Resident #54, out of 38 residents in the survey sample.
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) March 27, 2020

Inspectors wroteThe facility staff failed to provide activities of daily living for 1 of 38 residents in the survey sample, by failing to provide set up assistance to maintain good oral hygiene for Resident #50.
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) March 27, 2020

Inspectors wroteBased on observations during the medication storage task, staff interviews, and clinical record review the facility's staff failed to ensure medication labels were comprised of federally required information for 1 of 38 residents (Resident #67), in the survey sample.
D

Keep complete, dated laboratory records in the resident's record.

F775 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 27, 2020

Inspectors wroteBased on staff interviews and clinical record review the facility staff failed to ensure laboratory reports were filed in the resident's clinical record for 1 of 38 residents (Resident #11), in the survey sample.

October 18, 2018Standard inspection · 8 citations

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) November 30, 2018

Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to implement abuse prevention policies regarding reporting an injury of unknown origin to the state agency. Resident #34, with severely impaired cognitive skills and total dependence upon staff for transfers and care, was diagnosed with a distal fibula fracture of unknown origin. This fracture of unknown origin was not reported to the state survey agency or other local agencies as required by facility's policy for abuse investigation/reporting.
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) November 30, 2018

Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to ensure an injury of unknown origin was reported to the state survey agency and adult protective services. Resident #34, with severely impaired cognitive skills and total dependence upon staff for transfers and care, was diagnosed with a distal fibula fracture of unknown origin. This fracture of unknown origin was not reported to the state survey agency or local adult protective services.
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) November 30, 2018

Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure an accurate MDS (minimum data set) for one of 22 residents in the survey sample, Resident # 94. Resident # 94's most recent MDS assessment coded the receipt Pneumococcal vaccine incorrectly.
D

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2018

Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to ensure proper wheelchair positioning for one of 22 residents in the survey sample. Resident #94 was observed seated in a wheelchair without footrests with her feet not reaching the floor.
D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2018

Inspectors wroteBased on clinical record review, facility document review, and staff interview, the facility staff failed to ensure one of 22 residents in the survey sample were free from unnecessary medication. There was no physician documented rationale for the continued use of, or for not completing a gradual dose reduction of Lorazepam and Sertraline.
D

Ensure medication error rates are not 5 percent or greater.

F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2018

Inspectors wroteBased on medication pass and pour observation, staff interview, and clinical record review, facility staff failed to ensure a medication error rate less than five percent. There were three errors out of 31 opportunities resulting in a medication error rate of 9.68%. 1. Resident #69 received her morning dose of Metformin (Glucophage) after eating breakfast and not per physician order. 2. Resident #12 was not administered Flonase and Miralax as ordered by the physician.
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 30, 2018

Inspectors wroteBased on medication pass and pour observation, and staff interview, facility staff failed to ensure medications were stored in a locked area on one of five units, [NAME] Unit. Facility staff failed to ensure the medication cart was locked on the [NAME] Unit.
D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2018

Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to correctly assess and document the pneumococcal vaccine status for one of 5 records reviewed: Resident # 94. Resident # 94's clinical record had no documentation of consent or refusal of the Pneumococcal vaccine.

Fire safety inspections

4 fire safety citations on file: 1 on September 22, 2023, 3 on October 18, 2018.

Every fire safety citation4 citations

F
Have an alternate power supply for its alarm system.

K 344 · September 22, 2023 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · October 18, 2018 · Corrected (the home has a date of correction)
D
Meet requirements for the installation and maintenance of electrical systems.

K 911 · October 18, 2018 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · October 18, 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.

Measure	This home	Virginia	United States
All nursing staff (RN, LPN and aides)	4.01	3.76	3.86
Registered nurses	1.19	0.69	0.69
All nursing staff on weekends	3.40	3.29	3.42
Nurse aides	2.35
Licensed practical nurses	0.47
Nursing staff turnover (share who left in a year)	31.6%	48.1%	45.8%
Registered nurse turnover	25.0%	48.2%	42.9%
Administrators who left	2

CMS expects 3.23 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 4.25 on weekdays and 3.40 on weekends, 20% 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 4.08 in April to June 2025 to 4.01 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	4.01	1.19	4.25	3.40	0.0%	0 of 90	88
Oct to Dec 2025	3.76	1.12	3.94	3.31	0.4%	0 of 92	91
Jul to Sep 2025	3.93	1.03	4.16	3.33	0.1%	0 of 92	88
Apr to Jun 2025	4.08	1.17	4.36	3.37	0.0%	0 of 91	88
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	10.3	14.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.7	0.4	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.9	1.6	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	5.0	3.6	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	2.0	1.3	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	14.3	15.6	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.9	4.7	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	10.2	14.2	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	26.7	22.3	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	9.3	11.5	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.9	1.5	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.3	1.5	1.8

Owners and operators

Legal business name: BON SECOURS MERCY HEALTH FRANKLIN LLC.

Name	Role	Type	Since
Bon Secours Hampton Roads Health System Inc	Direct ownership interest	Organization	01/01/2020
Bon Secours Mercy Health Inc	Indirect ownership interest	Organization	01/01/2020
Hajimomenian, Amir	Managing control - governing body	Individual	01/01/2025
Beale, Teresa	Corporate director	Individual	01/01/2022
Cannady, David	Corporate director	Individual	01/01/2023
Davis-Hagens, Patricia	Corporate director	Individual	10/18/2021
Fairchild, Charlette	Corporate director	Individual	01/01/2020
Gerardo, Edward	Corporate director	Individual	01/01/2023
Glynn, Dawn	Corporate director	Individual	01/01/2024
Haynes, Jonathan	Corporate director	Individual	01/01/2022
Jefferson, Joy	Corporate director	Individual	01/01/2025
Kirk, Ann	Corporate director	Individual	01/01/2025
McCray, Corey	Corporate director	Individual	01/01/2024
Romero, Cynthia	Corporate director	Individual	01/01/2020
Russell, Deborah	Corporate director	Individual	01/01/2023
Rutledge, Carolyn	Corporate director	Individual	01/01/2023
Suber, Diane	Corporate director	Individual	01/01/2023
Yanofchick, Brian	Corporate director	Individual	01/01/2020
Zawoloka, Alex	Corporate director	Individual	01/01/2025
Hajimomenian, Amir	Corporate officer	Individual	01/01/2025
Haynes, Jonathan	Corporate officer	Individual	01/01/2022
Haynes, Jonathan	Operational/managerial control	Individual	01/01/2020
Beale, Teresa	Trustee of the SNF	Individual	01/01/2022
Cannady, David	Trustee of the SNF	Individual	01/01/2023
Davis-Hagens, Patricia	Trustee of the SNF	Individual	10/18/2022
Fairchild, Charlette	Trustee of the SNF	Individual	01/01/2020
Gerardo, Edward	Trustee of the SNF	Individual	01/01/2023
Glynn, Dawn	Trustee of the SNF	Individual	01/01/2024
Haynes, Jonathan	Trustee of the SNF	Individual	01/01/2022
Jefferson, Joy	Trustee of the SNF	Individual	01/01/2025
Kirk, Ann	Trustee of the SNF	Individual	01/01/2025
McCray, Corey	Trustee of the SNF	Individual	01/01/2024
Romero, Cynthia	Trustee of the SNF	Individual	01/01/2020
Russell, Deborah	Trustee of the SNF	Individual	01/01/2023
Rutledge, Carolyn	Trustee of the SNF	Individual	01/01/2023
Suber, Diane	Trustee of the SNF	Individual	01/01/2023
Yanofchick, Brian	Trustee of the SNF	Individual	01/01/2020
Bon Secours Mercy Health Inc	Adp of the SNF	Organization	03/28/2025
Hajimomenian, Amir	Adp of the SNF	Individual	07/17/2025
Starcher, John	Adp of the SNF	Individual	01/01/2025
Zawoloka, Alex	Adp of the SNF	Individual	07/17/2025

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.

When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on September 22, 2023: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on February 12, 2020: "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."
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 September 22, 2023: "Provide care and assistance to perform activities of daily living for any resident who is unable."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on February 12, 2020: "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."
How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Courtland Rehabilitation and Healthcare Center
Courtland, 6.7 mi · 1 of 5 stars · 45 citations
Windsor Grove Health and Rehabilitation
Windsor, 13.7 mi · 2 of 5 stars · 62 citations
Lake Prince Woods, Inc
Suffolk, 18.7 mi · 5 of 5 stars · 6 citations
Autumn Care of Suffolk
Suffolk, 19.4 mi · 2 of 5 stars · 52 citations
Nans Pointe Rehabilitation and Nursing
Suffolk, 19.8 mi · 1 of 5 stars · 55 citations
Gates Health and Rehabilitation Center
Gatesville, 23.5 mi · 2 of 5 stars · 11 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 Southampton Memorial Hosp's Medicare star rating?: CMS rates Southampton Memorial Hosp 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Southampton Memorial Hosp get at its last inspection?: 3 health deficiencies at the standard inspection on September 22, 2023. The Virginia average is 14.3.
Has Southampton Memorial Hosp been fined?: CMS lists no fines in the last three years.
Does Southampton Memorial Hosp 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 Southampton Memorial Hosp?: CMS lists 41 owners and managers. Legal business name: BON SECOURS MERCY HEALTH FRANKLIN LLC.

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.