CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Old Dominion Rehabilitation and Nursing
View the most recent health deficiencies and inspection results for Old Dominion Rehabilitation and Nursing. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Old Dominion Rehabilitation and Nursing. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-02-20 | 2026-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-20 | 2026-04-20 | N |
| Ensure that periodic evaluations are made of hazards that could be encountered during surgical procedures, and fire prevention procedures are established. | Fire Safety | 2026-02-20 | 2026-04-20 | N |
| Meet other general requirements. | Fire Safety | 2026-02-20 | 2026-04-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-02-20 | 2026-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-02-20 | 2026-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-20 | 2026-04-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-02-20 | 2026-04-17 | N |
| 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. | Health | 2026-02-20 | 2026-04-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-02-20 | 2026-04-17 | N |
| 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. | Health | 2026-02-20 | 2026-04-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-20 | 2026-04-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-02-20 | 2026-04-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-02-20 | 2026-04-17 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-02-20 | 2026-04-17 | N |
| Respond appropriately to all alleged violations. | Health | 2026-02-20 | 2026-04-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-20 | 2026-04-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-20 | 2026-04-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-02-20 | 2026-04-17 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2026-02-20 | 2023-03-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-03-03 | 2022-08-04 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2022-03-03 | 2022-08-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-03 | 2022-08-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-03 | 2022-08-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-03 | 2022-08-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-03 | 2022-04-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-03 | 2022-04-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-03 | 2022-04-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-03 | 2022-04-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-03-03 | 2022-04-16 | N |
| 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. | Health | 2022-03-03 | 2022-04-16 | N |
| 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. | Health | 2022-03-03 | 2022-04-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-03 | 2022-04-16 | N |
| 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. | Health | 2022-03-03 | 2022-04-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-03 | 2022-04-16 | N |
| 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. | Health | 2022-03-03 | 2022-04-16 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-03-03 | 2022-04-16 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-03-03 | 2022-04-16 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-03-03 | 2022-04-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-03 | 2022-04-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2022-03-03 | 2022-04-16 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-03 | 2022-04-16 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-03-03 | 2022-04-16 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-03-03 | 2022-04-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-03 | 2022-04-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-03-03 | 2022-04-16 | N |
| Dispose of garbage and refuse properly. | Health | 2022-03-03 | 2022-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-03 | 2022-04-16 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-03-03 | 2022-04-16 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-03-03 | 2022-04-16 | N |
| 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. | Health | 2022-03-03 | 2022-04-16 | N |
| 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. | Health | 2022-03-03 | 2022-04-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-03-03 | 2022-04-16 | N |
| 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. | Health | 2022-03-03 | 2022-04-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-03 | 2022-04-16 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-03 | 2022-04-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Establish methods for sharing information. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-03-03 | 2022-04-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-01 | 2019-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-01 | 2019-05-24 | N |
| Provide or obtain dental services for each resident. | Health | 2019-03-01 | 2019-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-01 | 2019-04-12 | N |
| 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. | Health | 2019-03-01 | 2019-04-12 | N |
| 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. | Health | 2019-03-01 | 2019-04-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-01 | 2019-04-12 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2019-03-01 | 2019-04-12 | N |
| 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. | Health | 2019-03-01 | 2019-04-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-01 | 2019-04-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-01 | 2019-04-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-01 | 2019-04-12 | N |
| Provide appropriate foot care. | Health | 2019-03-01 | 2019-04-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-01 | 2019-04-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-01 | 2019-04-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-01 | 2019-04-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-03-01 | 2019-04-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-03-01 | 2019-04-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-03-01 | 2019-04-12 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-03-01 | 2019-04-12 | N |
| Establish methods for sharing information. | Fire Safety | 2019-03-01 | 2019-04-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-03-01 | 2019-04-12 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-03-01 | 2019-04-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-03-01 | 2019-04-12 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-03-01 | 2019-04-12 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-03-01 | 2019-04-12 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-03-01 | 2019-04-12 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-03-01 | 2019-04-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-03-01 | 2019-04-12 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-03-01 | 2019-04-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-02-20 | Not Fixed | N |