SNF

Norfolk Health Care Center

CCN: 495210 · NORFOLK, VA 23504 · Norfolk City County

⚠ Inspection > 2 years ago

Overview

Address
901 EAST PRINCESS ANNE ROAD, NORFOLK, VA 23504
Phone
7576261642
Certified beds
180
Avg daily residents
172 (96% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1990-05-04
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 2/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 2.94 4.65 2.44 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.44 0.81 0.36 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.92 1.03 0.76 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.59 2.81 1.32 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.35 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.07 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.46
hrs / resident / day
RN (weekend)
0.23
hrs / resident / day
Total nurse (adjusted, weekend)
2.04
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
64.6%
annual
RN turnover
66.7%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.65
higher acuity than avg
Case-Mix Index Ratio
1.20
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2021-07-15 23 12 11 170 1 170
Cycle 2/3 (prior) 2019-05-09 17 16 1 92 1 92
Total weighted health score
150.5
lower is better

Deficiencies (49)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

48 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D 2026-01-14 2026-01-30
0803 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. E 2026-01-14 2026-01-30
0807 Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. D 2026-01-14 2026-01-30
0880 Provide and implement an infection prevention and control program. D 2026-01-14 2026-01-30
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2026-01-14 2026-01-30
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D 2025-09-24 2026-01-30
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. J 2025-09-24 2025-12-16
0803 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. D 2025-09-24 2026-01-30
0807 Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. E 2025-09-24 2026-01-30
0880 Provide and implement an infection prevention and control program. D 2025-09-24 2026-01-30
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2025-09-24 2026-01-30
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-09-05 2024-10-01
0574 The resident has the right to receive notices in a format and a language he or she understands. D 2021-07-15 2021-08-18
0578 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. D 2021-07-15 2021-08-18
0622 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. D 2021-07-15 2021-08-18
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2021-07-15 2021-08-18
0625 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. D 2021-07-15 2021-08-18
0641 Ensure each resident receives an accurate assessment. E 2021-07-15 2021-08-18
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2021-07-15 2021-08-18
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2021-07-15 2021-08-18
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2021-07-15 2021-08-18
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2021-07-15 2021-08-18
0760 Ensure that residents are free from significant medication errors. E 2021-07-15 2021-08-18
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F 2021-07-15 2021-08-18
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. D 2019-05-09 2019-06-17
0622 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. E 2019-05-09 2019-06-17
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2019-05-09 2019-06-17
0625 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. E 2019-05-09 2019-06-17
0641 Ensure each resident receives an accurate assessment. D 2019-05-09 2019-06-17
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2019-05-09 2019-06-17
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2019-05-09 2019-06-17
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2019-05-09 2019-06-17
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2019-05-09 2019-06-17
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2019-05-09 2019-06-17
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2019-05-09 2019-06-17
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2019-05-09 2019-06-17
0727 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. F 2019-05-09 2019-06-17
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2019-05-09 2019-06-17
0849 Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. D 2019-05-09 2019-06-17
0880 Provide and implement an infection prevention and control program. D 2019-05-09 2019-06-17
0166 Try to resolve each resident's complaints quickly. D 2017-08-17 2017-09-27
0309 Provide necessary care and services to maintain or improve the highest well being of each resident . E 2017-08-17 2017-09-27
0314 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D 2017-08-17 2017-09-27
0333 Ensure that residents are safe from serious medication errors. E 2017-08-17 2017-09-27
0371 Store, cook, and serve food in a safe and clean way. E 2017-08-17 2017-09-27
0411 Provide routine and 24-hour emergency dental care for each resident. E 2017-08-17 2017-09-27
0431 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. D 2017-08-17 2017-09-27
0441 Have a program that investigates, controls and keeps infection from spreading. D 2017-08-17 2017-09-27
0514 Keep accurate, complete and organized clinical records on each resident that meet professional standards. D 2017-08-17 2017-09-27

Penalties (1)

Fines issued
1
last 3 years
Total fines
$157,300
Date Type Fine amount
2025-09-24 Fine $157,300

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 4.0% Medicaid 84.6% Other 11.4%

Operating performance

Operating Margin
8.9%
Total Margin
10.3%
Occupancy Rate
93.5%
Cost per Resident Day
$31

Revenue & costs

Net Patient Revenue
$22.8M
Total Costs
$1.9M
Net Income
$2.4M

Balance sheet

Total Assets
$36.8M
Total Liabilities
$39.4M
Fund Balance
-$2.6M
Current Ratio
0.82

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: LIFEWORKS REHAB

Chain ID
768
Facilities in chain
59
Legal business name
NORFOLK SNF LLC
Chain-average star ratings (for peer context)
Overall
2.1
Health
2.1
Staffing
1.5
QM
3.9

Owner / manager organizations (18)

Organization Role Association
NORFOLK HOLDINGS I LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 05/28/2021
CHARLES 1994 FAMILY GRANTOR TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
CHESAPEAKE EAST LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
EDWARD 1998 FAMILY GRANTOR TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
EK 2005 FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
FAY 2014 FAMILY GRANTOR TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
FAY 2014 LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
LL 2013 FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
MMS 2008 FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
MZR EAST LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
SAUL 2012 FAMILY GRANTOR TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
SILVERSTONE EAST LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
SOL 2000 FAMILY GRANTOR TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
SOL 2000 LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
STEVENS 3920 & FAMILY LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
STEVENS 3920 FAMILY GRANTOR TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
STEVENS 3920 LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
RYLBSS EAST MANAGER LLC OPERATIONAL/MANAGERIAL CONTROL since 05/28/2021

Owner / manager individuals (2)

Name Role Association
WILSON, STEVEN CORPORATE DIRECTOR since 01/23/2024
WILSON, STEVEN W-2 MANAGING EMPLOYEE since 01/23/2024

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $31 metrics.cost_per_resident_day
Cost Report Current Ratio 0.82 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 84.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 4.0% metrics.medicare_day_share
Cost Report Net Income ($) $2,378,184 metrics.net_income
Cost Report Net Patient Revenue ($) $22,840,466 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 93.5% metrics.occupancy_rate
Cost Report Operating Margin (%) 8.9% metrics.operating_margin
Cost Report Total Assets ($) $36,824,103 metrics.total_assets
Cost Report Total Costs ($) $1,920,105 metrics.total_costs
Cost Report Total Fund Balances ($) $-2,572,301 metrics.fund_balance
Cost Report Total Liabilities ($) $39,396,404 metrics.total_liabilities
Cost Report Total Margin (%) 10.3% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.76065 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.31669 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.36235 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 2.43969 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.04069 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 172.1 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 1.03214 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.80514 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.81355 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.65083 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 4.09922 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.1 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.1 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.5 Chain Average Staffing Rating
Provider Information Chain ID 768 Chain ID
Provider Information Chain Name LIFEWORKS REHAB Chain Name
Provider Information City/Town NORFOLK City/Town
Provider Information CMS Certification Number (CCN) 495210 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Norfolk City County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1990-05-04 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 36.8571 Latitude
Provider Information Legal Business Name NORFOLK SNF LLC Legal Business Name
Provider Information Location 901 EAST PRINCESS ANNE ROAD,NORFOLK,VA,23504 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -76.275 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago Y Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 180 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 59 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.64758 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.19594 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 901 EAST PRINCESS ANNE ROAD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Norfolk Health Care Center Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 641 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 170 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 11 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 12 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2021-07-15 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 170 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 23 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 16 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2019-05-09 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 92 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 1 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 92 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 17 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.22599 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 66.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.35275 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.91628 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.58608 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.07153 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.43648 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 2.93883 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State VA State
Provider Information Telephone Number 7576261642 Telephone Number
Provider Information Total Amount of Fines in Dollars 157300.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.45819 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 64.6 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 150.500 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 23504 ZIP Code