Southampton Memorial Hosp
Franklin, Virginia · CCN 495157
7 surveys since 2010, 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
- 38
- Surveys
- 7
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 129
- Ownership
- Non profit - Church related
- Chain
- Independent
- County
- Franklin City · rural
- Medicare-certified since
- 1985
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 5
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=3, floor 20).
Last survey on record
Sep 22, 2023
1,144 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.01 | 4.03 |
| Registered-nurse hours per resident day | 1.19 | — |
| Annual nurse turnover | 31.6% | 39.8% |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1684.2% | E315.8% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6412×
Ensure each resident receives an accurate assessment.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F6772×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F7612×
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.
- F7752×
Keep complete, dated laboratory records in the resident's record.
In the surveyor’s words
From the most serious findings on record at Southampton Memorial Hosp, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF677Sep 22, 2023
Based on resident interviews, staff interviews and clinical record review, the facility staff failed to provide personal care to include showers for 2 out of 38 residents (Resident #12 and #47) who were unable to independently carry out activities of daily living (ADL) care. The findings included: 1. Resident #12 was admitted to the facility on [DATE]. Diagnosis for included but not limited to dementia with behavioral disturbances and Type II diabetes. Resident #12's Minimum Data Set (an assessment protocol) a quarterly with an Assessment Reference Date (ARD) of 06/15/23 coded the resident's Brief Interview for Mental Status (BIMS) score 10 of a possible 15 with moderate cognitive impairment for daily decision-making. […]
- No harm, potential for more than minimal, isolatedF657Sep 22, 2023
Based on observations, staff interview, and a clinical record review, the facility staff failed to revise the Person-Centered care plan as the Resident's condition changed for 1 of 38 residents (Resident 26), in the survey sample. The findings included: Resident #26 was originally admitted to the facility 2/9/22 and readmitted [DATE] after an acute care hospital stay. The current diagnoses included heart failure, deep vein thrombosis, schizophrenia, and intellectual disability. The significant change Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 7/22/23 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 8 out of a possible 15. […]
- No harm, potential for more than minimal, isolatedF775Sep 22, 2023
Based on record review and staff interview the facility failed to file clinical laboratory reports in the resident's clinical record and did not ensure laboratory reports contained the name and address of the testing laboratory. This affected one of 5 residents (Resident (R) 43) reviewed for unnecessary medication reviews. Findings include: Review of the diagnosis tab in R43's electronic medical record (EMR) revealed her diagnosis included atrial fibrillation (an irregular heartbeat that can lead to blood clots in the heart). […]
Read 20 findings in full →The most serious and the most recent: 20 of 38 on record.
Every survey on record
FindingsAt actual harm or above
- Sep 22, 2023Standard3 findings
- Feb 12, 2020Standard8 findings
- Oct 18, 2018Standard8 findings
- Apr 27, 2017Standard and complaint2 findings
- Mar 19, 2015Standard and complaint7 findings
- Mar 7, 2014Standard1 finding
- Nov 5, 2010—9 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.
- Jones & Cabacoy Veterans Care CenterVirginia Beachno harm findings
- Birmingham GreenManassasno harm findings
- Davis and McDaniel Veterans Care CenterRoanokeno harm findings
- Roman Eagle Rehabilitation and Health Care CenterDanvilleno harm findings
- Twin Lakes Rehabilitation and NursingSouth Hillno harm findings
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