CareLedger USAAt a glance
- Record status
- Record found
- CMS Certification Number
- 495362
- Facility type
- Nursing home
- Certified beds
- 190
- Ownership
- For profit - Corporation
- County or equivalent
- Hanover
- CMS area classification
- Urban
- Phone
- (804) 798-3291
- CMS data processed
- 2026-08-01
Published CMS ratings
- Overall
- 1 of 5
- Health inspection
- 1 of 5
- Staffing
- 2 of 5
- Quality measures
- 2 of 5
Ratings are published by CMS. CareLedger does not create or alter federal star ratings.
Published CMS staffing measures
Staffing figures to ask about
CMS reports nurse hours per resident per day, weekend hours and staff turnover. These figures can help you prepare questions about coverage and continuity. How to read these staffing numbers.
- Total nurse hours per resident per day
- 3.02 hours
- RN hours per resident per day
- 0.41 hours
- Weekend nurse hours per resident per day
- 2.65 hours
- Weekend RN hours per resident per day
- 0.30 hours
- Nursing staff turnover
- 57.6%
- RN turnover
- 69.2%
- Administrators who left
- 3
Ask the home: how are weekday and weekend shifts staffed now, and how do you cover absences? More questions for a visit.
These published measures cover different reporting periods and are not a real-time staffing count or a judgment about care today. CMS processing date: 2026-08-01. Open this facility's CMS source row. How Medicare explains staffing measures.
Record timeline
- Retrieved by CareLedger
The public source record was retrieved for this directory.
- CMS data processed
CMS lists this as the processing date for the published dataset row.
- Standard survey listed
Most recent standard survey: 2024-02-09. Health deficiencies: 118.
For your visit
Questions to take with you
Public records can help you prepare, but they cannot tell you what daily life feels like now. Ask to see current documents and talk through anything that matters to your family.
- The CMS record displays an abuse icon. Could you show us the related inspection findings and explain what changed afterward?Why this question: CMS abuse icon · CMS data processed 2026-08-01
- CMS flags the most recent health inspection as more than two years ago. When was the latest inspection, and where can we read its report?Why this question: CMS most recent health inspection more than two years ago · CMS data processed 2026-08-01
- CMS lists 118 health deficiencies in its latest rating cycle. Which findings were corrected, and where can we verify that?Why this question: CMS rating cycle 1 total number of health deficiencies · CMS data processed 2026-08-01
These are conversation prompts, not new findings or recommendations. The source record may lag behind current conditions. Check the CMS source data
Inspection record
Most recent standard survey: 2024-02-09. Health deficiencies: 118.
From the CMS Health Deficiencies file
Citations on the most recent survey date in this CMS file
The latest date with a citation for this facility in this file is . This may not be the facility’s latest inspection. The entries below are source records, not an assessment of care today.
CMS tag 0580 Resident Rights Deficiencies
CMS requirement: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-16 · CMS scope/severity code: D
CMS tag 0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS requirement: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS correction field: Past Non-Compliance · Correction date in file: 2026-06-10 · CMS scope/severity code: D
CMS tag 0658 Resident Assessment and Care Planning Deficiencies
CMS requirement: Ensure services provided by the nursing facility meet professional standards of quality.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-16 · CMS scope/severity code: D
The correction field and date are reproduced from CMS; they do not independently verify a correction or establish whether a concern exists now. Open the CMS Health Deficiencies data for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22.
From the CMS citation file
CMS citation tags seen on multiple survey dates
These tags appear on at least two distinct CMS survey dates. The dates and source are shown; this is not a statement about current conditions or whether a finding remains unresolved.
Topics in citations from multiple survey dates
These topics group CMS tags with reviewed descriptions. The dated list below shows every repeated tag, including tags without a topic label. Open the CMS source.
- Abuse prevention and reporting 3 CMS tags · 6 survey dates Tags 0600, 0607, 0609 · Most recent citation date
- Family notification 1 CMS tag · 6 survey dates Tags 0580 · Most recent citation date
- Supervision and physical safety 1 CMS tag · 5 survey dates Tags 0689 · Most recent citation date
These dates describe past CMS citations. Ask the facility about current practice.
-
CMS tag 0580 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Survey dates: , , , , ,
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CMS tag 0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS describes the regulatory requirement as: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Survey dates: , , , , ,
-
CMS tag 0658 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Ensure services provided by the nursing facility meet professional standards of quality.
Survey dates: , , ,
-
CMS tag 0584 Resident Rights Deficiencies
CMS describes the regulatory requirement as: 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.
Survey dates: , , , ,
Show 43 more tags seen on multiple dates
CMS tag 0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS describes the regulatory requirement as: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Survey dates: , ,
CMS tag 0689 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Survey dates: , , , ,
CMS tag 0838 Administration Deficiencies
CMS describes the regulatory requirement as: Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Survey dates: ,
CMS tag 0941 Administration Deficiencies
CMS describes the regulatory requirement as: Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Survey dates: , ,
CMS tag 0942 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Survey dates: , ,
CMS tag 0944 Administration Deficiencies
CMS describes the regulatory requirement as: Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Survey dates: , ,
CMS tag 0949 Administration Deficiencies
CMS describes the regulatory requirement as: Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Survey dates: , ,
CMS tag 0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS describes the regulatory requirement as: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Survey dates: ,
CMS tag 0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS describes the regulatory requirement as: Respond appropriately to all alleged violations.
Survey dates: ,
CMS tag 0656 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Survey dates: , , , ,
CMS tag 0657 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Survey dates: , , ,
CMS tag 0677 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide care and assistance to perform activities of daily living for any resident who is unable.
Survey dates: , ,
CMS tag 0679 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide activities to meet all resident's needs.
Survey dates: ,
CMS tag 0680 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Ensure the activities program is directed by a qualified professional.
Survey dates: ,
CMS tag 0687 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide appropriate foot care.
Survey dates: ,
CMS tag 0725 Nursing and Physician Services Deficiencies
CMS describes the regulatory requirement as: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Survey dates: , ,
CMS tag 0730 Nursing and Physician Services Deficiencies
CMS describes the regulatory requirement as: Observe each nurse aide's job performance and give regular training.
Survey dates: , ,
CMS tag 0745 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide medically-related social services to help each resident achieve the highest possible quality of life.
Survey dates: , ,
CMS tag 0804 Nutrition and Dietary Deficiencies
CMS describes the regulatory requirement as: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Survey dates: , , ,
CMS tag 0809 Nutrition and Dietary Deficiencies
CMS describes the regulatory requirement as: Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Survey dates: ,
CMS tag 0840 Administration Deficiencies
CMS describes the regulatory requirement as: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Survey dates: ,
CMS tag 0842 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Survey dates: , ,
CMS tag 0880 Infection Control Deficiencies
CMS describes the regulatory requirement as: Provide and implement an infection prevention and control program.
Survey dates: , ,
CMS tag 0943 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS describes the regulatory requirement as: Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Survey dates: ,
CMS tag 0946 Administration Deficiencies
CMS describes the regulatory requirement as: Provide training in compliance and ethics.
Survey dates: ,
CMS tag 0947 Nursing and Physician Services Deficiencies
CMS describes the regulatory requirement as: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Survey dates: ,
CMS tag 0684 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Survey dates: , , ,
CMS tag 0690 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Survey dates: , ,
CMS tag 0695 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide safe and appropriate respiratory care for a resident when needed.
Survey dates: ,
CMS tag 0700 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Survey dates: ,
CMS tag 0812 Nutrition and Dietary Deficiencies
CMS describes the regulatory requirement as: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Survey dates: , , ,
CMS tag 0558 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Reasonably accommodate the needs and preferences of each resident.
Survey dates: ,
CMS tag 0622 Resident Rights Deficiencies
CMS describes the regulatory requirement as: 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.
Survey dates: ,
CMS tag 0623 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Survey dates: ,
CMS tag 0645 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: PASARR screening for Mental disorders or Intellectual Disabilities
Survey dates: ,
CMS tag 0686 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Survey dates: ,
CMS tag 0697 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide safe, appropriate pain management for a resident who requires such services.
Survey dates: ,
CMS tag 0727 Nursing and Physician Services Deficiencies
CMS describes the regulatory requirement as: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Survey dates: ,
CMS tag 0758 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: 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.
Survey dates: ,
CMS tag 0760 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Ensure that residents are free from significant medication errors.
Survey dates: , ,
CMS tag 0803 Nutrition and Dietary Deficiencies
CMS describes the regulatory requirement as: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Survey dates: ,
CMS tag 0757 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Survey dates: ,
CMS tag 0806 Nutrition and Dietary Deficiencies
CMS describes the regulatory requirement as: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Survey dates: ,
Questions you could ask on a visit
- For CMS tag 0580 listed on 2026-07-02, 2026-03-18, 2025-08-21, 2024-02-09, 2023-11-20, 2020-02-06, could you show us the relevant inspection reports and explain how the facility handles family notification today?
- For CMS tag 0600 listed on 2026-07-02, 2026-03-18, 2025-08-21, 2024-02-09, 2023-09-07, 2020-02-06, could you show us the relevant inspection reports and explain how the facility handles abuse prevention and reporting today?
These prompts use reviewed topic labels from the CMS descriptions. They are not additional inspection findings.
Source: CMS Health Deficiencies for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22. These historical dates are not a claim about current practice.
Enforcement record
Fines: 1 ($36,491.00 total). Payment denials: 1.
Source and coverage
- Coverage status
- verified live data
- Source agency
- Centers for Medicare & Medicaid Services
- Retrieved
- 2026-09-25
- Confidence
- primary_source
Public records can lag, omit context, or use terms differently across states. Verify material facts with the source agency and facility.