SNF
JAMES RIVER NURSING AND REHABILITATION CENTER
CCN: 495286 · NEWPORT NEWS, VA 23601 · Newport News City County
Inspection > 2 years ago
Overview
- Address
- 540 ABERTHAW AVENUE, NEWPORT NEWS, VA 23601
- Phone
- 7575952273
- Certified beds
- 154
- Avg daily residents
- 136 (88% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1994-01-01
- Setting
- Urban
3 /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.
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 | 3.89 | 4.44 | 3.38 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.66 | 0.78 | 0.57 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.88 | 0.99 | 0.76 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.36 | 2.68 | 2.05 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.53 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.01 | — | — | — |
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)
3.36
hrs / resident / day
RN (weekend)
0.59
hrs / resident / day
Total nurse (adjusted, weekend)
2.92
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
36.8%
annual
RN turnover
20.0%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.57
higher acuity than avg
Case-Mix Index Ratio
1.14
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) | 2022-12-01 | 16 | 16 | 0 | 160 | 1 | 160 |
| Cycle 2/3 (prior) | 2019-04-18 | 11 | 10 | 1 | 56 | 1 | 56 |
Total weighted health score
134.0
lower is better
Deficiencies (28)
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).
27 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-06-14 | 2023-07-31 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2022-12-01 | 2023-01-16 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2022-12-01 | 2023-01-16 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2022-12-01 | 2023-01-16 |
| 0610 | Respond appropriately to all alleged violations. | D | 2022-12-01 | 2023-01-16 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2022-12-01 | 2023-01-16 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2022-12-01 | 2023-01-16 |
| 0791 | Provide or obtain dental services for each resident. | D | 2022-12-01 | 2023-01-16 |
| 0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2022-12-01 | 2023-01-16 |
| 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. | F | 2022-12-01 | 2023-01-16 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2022-12-01 | 2023-01-16 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-12-01 | 2023-01-16 |
| 0814 | Dispose of garbage and refuse properly. | F | 2022-12-01 | 2023-01-16 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2022-12-01 | 2023-01-16 |
| 0886 | Perform COVID19 testing on residents and staff. | F | 2022-12-01 | 2023-01-16 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2022-12-01 | 2023-01-16 |
| 0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2022-12-01 | 2023-01-16 |
| 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 | 2019-04-18 | 2019-05-17 |
| 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 | 2019-04-18 | 2019-05-17 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2019-04-18 | 2019-05-17 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2019-04-18 | 2019-05-17 |
| 0675 | Honor each resident's preferences, choices, values and beliefs. | D | 2019-04-18 | 2019-05-17 |
| 0758 | 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. | D | 2019-04-18 | 2019-05-17 |
| 0761 | 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. | D | 2019-04-18 | 2019-05-17 |
| 0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2019-04-18 | 2019-05-17 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2019-04-18 | 2019-05-17 |
| 0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2019-04-18 | 2019-05-17 |
| 0441 | Have a program that investigates, controls and keeps infection from spreading. | D | 2017-09-14 | 2017-10-10 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 8.2% Medicaid 67.2% Other 24.7%
Operating performance
Operating Margin
9.8%
Total Margin
9.9%
Occupancy Rate
89.3%
Cost per Resident Day
$31
Revenue & costs
Net Patient Revenue
$15.6M
Total Costs
$1.6M
Net Income
$1.5M
Balance sheet
Total Assets
$5.6M
Total Liabilities
$1.4M
Fund Balance
$4.2M
Current Ratio
2.91
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: VIRGINIA HEALTH SERVICES
- Chain ID
551- Facilities in chain
- 7
- Legal business name
- Legal Business Name Not Available
Chain-average star ratings (for peer context)
Overall
3.6
Health
3.0
Staffing
2.9
QM
4.3
Owner / manager individuals (1)
| Name | Role | Association |
|---|---|---|
| — | Ownership Data Not Available | — |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $31 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 2.91 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 67.2% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 8.2% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $1,544,378 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $15,622,000 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 89.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 9.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $5,558,836 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,579,759 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $4,168,127 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,390,709 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 9.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.76142 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.05109 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.57241 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.38491 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.92269 | 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 | 135.9 | 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 | 0.98504 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.67711 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.77643 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.43858 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.91214 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.0 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.6 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.3 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.9 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 551 | Chain ID |
| Provider Information | Chain Name | VIRGINIA HEALTH SERVICES | Chain Name |
| Provider Information | City/Town | NEWPORT NEWS | City/Town |
| Provider Information | CMS Certification Number (CCN) | 495286 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Newport News City | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1994-01-01 | 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 | 37.0348 | Latitude |
| Provider Information | Legal Business Name | Legal Business Name Not Available | Legal Business Name |
| Provider Information | Location | 540 ABERTHAW AVENUE,NEWPORT NEWS,VA,23601 | 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 | -76.456 | 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 | 154 | 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 | 7 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.57239 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.14136 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | 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 | 540 ABERTHAW AVENUE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | JAMES RIVER NURSING AND REHABILITATION CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 622 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 160 | 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 | 0 | 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 | 16 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2022-12-01 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 160 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 16 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 10 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2019-04-18 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 56 | 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 | 56 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 11 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.58614 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 20.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.53338 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.87534 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.35796 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.01337 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.65805 | 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 | 3.89134 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | 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 | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | VA | State |
| Provider Information | Telephone Number | 7575952273 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.35996 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 36.8 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 134.000 | 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 | 23601 | ZIP Code |