Daleville Health and Rehabilitation

DALEVILLE, VA · 90 beds · For profit - Corporation

53 Trust Score
Grade: D MEDIUM Risk → Stable

Red Flags

  • RN hours significantly below state average

Green Flags

  • No fines or penalties on record

Quick Facts

★★★☆☆
CMS Overall
★★★☆☆
Health Inspection
13
0.9x state avg
Deficiencies
$0
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

April 9, 2024

20 deficiencyies
F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0692 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide enough food/fluids to maintain a resident's health.

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0865 Potential Harm Scope/Severity: D

Administration Deficiencies

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Have a plan that describes the process for conducting QAPI and QAA activities.

F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide care and assistance to perform activities of daily living for any resident who is unable.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

See full violation history →

Staffing

0.37
RN hrs/res/day
1.34
LPN hrs/res/day
2.32
CNA hrs/res/day
3.55
Weekend hrs/res/day
54%
Total nurse turnover
60%
RN turnover

A nurse checks on each resident roughly every 6.0 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Corporation Independent (not part of a chain)
  • CREATIVE CARE RESOURCES LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 03/31/2021

    20% Organization
  • VA BOTETOURT OPS LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 03/01/2020

    80% Organization
  • ARK POST ACUTE NETWORK LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2021

    Organization
  • BRIDGES, ROY

    CORPORATE OFFICER

    Since since 03/01/2020

    Individual
  • JUSTINIANO, KIMBERLY

    CORPORATE OFFICER

    Since since 03/01/2020

    Individual
  • ANDERSON, BRIAN

    W-2 MANAGING EMPLOYEE

    Since since 08/11/2021

    Individual

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