River View on the Appomattox Health & Rehab Center
201 Epps Street · Hopewell, VA · 23860 · 8045411445
124 certified beds For profit - Partnership Chain: Commonwealth Care of Roanoke
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.24 | 0.55–0.75 |
| Weekend hours / resident-day | 2.93 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (63 in the current record)
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Potential for harm · D May 18, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 18, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 18, 2024 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 29, 2024 · Pharmacy Service
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Potential for harm · D May 18, 2024 · found via complaint
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected July 29, 2024 · Administration
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Immediate jeopardy · K March 9, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 23, 2023 · Quality of Life and Care
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Immediate jeopardy · J March 9, 2023
Provide and implement an infection prevention and control program.
Corrected April 23, 2023 · Infection Control
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Potential for harm · D March 9, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 23, 2023 · Resident Rights
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Potential for harm · D March 9, 2023
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected April 23, 2023 · Resident Rights
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Potential for harm · E March 9, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 23, 2023 · Resident Rights
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Potential for harm · F March 9, 2023
Keep residents' personal and medical records private and confidential.
Corrected April 23, 2023 · Resident Rights
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Potential for harm · D March 9, 2023
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.
Corrected April 23, 2023 · Resident Rights
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Potential for harm · D March 9, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 9, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 9, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 9, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 9, 2023
Plan the resident's discharge to meet the resident's goals and needs.
Corrected April 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 9, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 23, 2023 · Quality of Life and Care
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Potential for harm · D March 9, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 23, 2023 · Quality of Life and Care
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Potential for harm · D March 9, 2023
Provide appropriate foot care.
Corrected April 23, 2023 · Quality of Life and Care
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Potential for harm · D March 9, 2023
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.
Corrected April 23, 2023 · Quality of Life and Care
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Potential for harm · D March 9, 2023
Observe each nurse aide's job performance and give regular training.
Corrected April 23, 2023 · Nursing and Physician Services
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Potential for harm · E March 9, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 23, 2023 · Pharmacy Service
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Potential for harm · D March 9, 2023
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.
Corrected April 23, 2023 · Pharmacy Service
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Potential for harm · E March 9, 2023
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.
Corrected April 23, 2023 · Pharmacy Service
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Potential for harm · E March 9, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 23, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495085 · certified since January 11, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.