Deficiency Index

Lake Prince Woods, Inc

Suffolk, Virginia · CCN 495366

9 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
43
Surveys
9
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file6/9

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
40
Ownership
For profit - Limited Liability company
Chain
EVERYAGE SENIOR LIVING
County
Suffolk City
Medicare-certified since
2003

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=5, floor 20).

Last survey on record

Nov 26, 2025

348 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.833.46
Registered-nurse hours per resident day0.78—
Annual nurse turnover38.1%55.1%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD6100.0%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 6 of the 43 citations on record.

In the surveyor’s words

From the most serious findings on record at Lake Prince Woods, Inc, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF550Nov 26, 2025

    Based on observation and staff interviews, the facility's staff failed to maintain dignity during mealtime for 2 of 26 residents (Resident #7 and Resident #30) in the survey sample.The findings included:1.The facility staff failed to maintain dignity during mealtime by feeding two residents at the same time. Resident #7 was originally admitted to the facility on [DATE] and re-admitted on [DATE] after an acute care hospital stay. The current diagnoses included; Vascular Dementia. The admission, Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 4/29/25 coded the resident as not having the ability to complete the Brief Interview for Mental Status (BIMS). […]

  • No harm, potential for more than minimal, isolatedF847Nov 26, 2025

    Based on resident interview, staff interview, clinical record review, and review of facility documents, the facility staff failed to explain the binding arbitration agreement to the resident in a form and manner that the resident understands for 1 of 26 residents (Resident #2), in the survey sample. The findings included: Resident #2 was originally admitted to the facility 11/5/25. The current diagnoses included spinal stenosis, urinary tract infection, type 2 diabetes mellitus without complications, and anemia. The admission Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 11/10/25 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 15 out of a possible 15. […]

  • No harm, potential for more than minimal, isolatedF880Nov 26, 2025

    Based on observations and staff interviews, the facility's staff failed to follow infection control measures during mealtime for 2 of 26 residents in the survey sample (Resident #7 and Resident #30).The findings included:1.The facility staff failed to ensure infection control measures were followed during mealtime by feeding two residents at the same time without maintaining proper hand hygiene. Resident #7 was originally admitted to the facility on [DATE] and re-admitted on [DATE] after an acute care hospital stay. The current diagnoses included; Vascular Dementia. The admission, Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 4/29/25 coded the resident as not having the ability to complete the Brief Interview for Mental Status (BIMS). […]

  • No harm, potential for more than minimal, isolatedF558Feb 3, 2022

    Based on observation, staff interviews and clinical record review the facility staff failed to provide the accommodation needed for 1 of 19 residents (Resident #2) in the survey sample. The findings included: The facility staff to ensure Resident #2's call bell remained within reach. Resident #2 was admitted to the nursing facility on 08/29/16. diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The current Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/19/21 coded Resident #2 Brief Interview for Mental Status (BIMS) scored a 99 indicating short and long term memory problems and with severe cognitive impairment - never/rarely made decisions. […]

  • No harm, potential for more than minimal, isolatedF881Feb 3, 2022

    Based on information gleamed during the antibiotic stewardship task, observation, staff interview, and clinical record review the facility staff failed to ensure a Resident who is prescribed an antibiotic has appropriate indication for use and receives the antibiotic timely for 1 of 19 residents (Resident #21), in the survey sample. The findings included: Resident #21 was originally admitted to the facility 1/24/20 and had not been discharged from the facility. The current diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The annual Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 1/11/22 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 10 out of a possible 15. […]

Read 20 findings in full →The most serious and the most recent: 20 of 43 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 26, 2025Standard3 findings
  • Feb 3, 2022Standard2 findings
  • Aug 29, 2019Standard1 finding
  • Nov 16, 2017Standard10 findings
  • Jan 28, 2016Standard2 findings
  • Feb 12, 2015Standard5 findings
  • Feb 7, 2014Standard and complaint14 findings
  • Jan 20, 2012—3 findings
Show the 1 earlier survey
  • Jan 6, 2011—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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