Virginia Beach Healthcare and Rehab Center

In the surveyor’s words

From the most serious findings on record at Virginia Beach Healthcare and Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600May 7, 2026

  Based on observation, interview, clinical record review and facility documentation, the facility staff failed to protect the residents right to be free from abuse and neglect by facility staff for one resident (R4) in a survey sample of five Residents. This deficient practice resulted in the identification of Immediate Jeopardy (IJ), which constituted substandard quality of care. Following the verification of removal of the IJ, the scope and severity was lowered to a level three isolated. […]

• Immediate jeopardy, isolatedF607May 7, 2026

  Based on interview, clinical record review and facility documentation, the facility staff failed to implement their abuse/neglect policy and take measures to protect a resident during an allegation of abuse/neglect, failed to report the allegation and failed to conduct a thorough investigation for one resident (Resident #4-R4) in a survey sample of five residents. This failure resulted in R4 sustaining psychosocial harm and the identification of immediate jeopardy (IJ) and resulted in substandard quality of care. […]

• Actual harm, isolatedF686Oct 11, 2024

  Based on observation, staff interview, facility documentation review, and clinical record review the facility staff failed to prevent, assess, identify and treat an avoidable pressure ulcer resulting in harm for one Resident (Resident #73) in a survey sample of 55 Residents. The findings included: Resident #73, with contracted fingers of the left hand, experienced a pressure sore injury from his fingernails pressing into his palm. The pressure sore became infected resulting in cellulitis, which led to the identification of the pressure sore injury in the facility. The pressure sore and resulting infection caused the Resident to be sent out to the hospital for treatment with IV (intravenous) antibiotics for 10 days. […]

• Actual harm, isolatedF697Oct 11, 2024

  2. On 10/1/24 at 7:00 PM an interview was conducted with Resident #47. Resident #47 stated that there was no nurse on unit 3 from 3pm to 11pm and 11pm to 7am on 8/17/24. Resident #47 also stated that due to this, she did not receive the scheduled two (2) doses of Gabapentin on 8/17/24 and 8/18/24 and 1 scheduled dose of Tylenol on 8/18/24. Resident #47 voiced that due to not taking these medications, her pain level was a 9 out of 10, with 10 being the worst pain possible. Resident #47 further voiced that she experienced severe pain in her neck, head, and shaking of her hands. The Care Plan with a revision date of 2/16/23 read that Resident #47 has a history of chronic pain related to cerebrovascular accident (CVA). […]

• No harm, potential for more than minimal, widespreadF584Oct 11, 2024

  Based on observations, resident interviews, staff interviews, facility document reviews, and review of the facility's policy, the facility staff failed to provide a sanitary, comfortable, and homelike environment on four of four units and some common areas, which resulted in Substandard Quality of Life. The findings included: 1. Upon entering the facility on 10/4/24 at approximately 10:20 AM, water was observed leaking from the ceiling in the lobby. During the initial tour of Unit one at approximately 11:15 AM, the corridor was with much debris, many dark spots and a bed near the rear exit door. room [ROOM NUMBER]'s floors were soiled, the trash can was without a liner and a used glove was observed on the floor. […]