PlainNursing
CMS Nursing Home Compare · August 2026

River View on the Appomattox Health & Rehab Center

201 Epps Street, Hopewell, VA 23860

River View on the Appomattox Health & Rehab Center, a 124-bed for profit - partnership nursing facility in Hopewell, VA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #265 of 286 rated homes in VA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8045411445

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1 / 5
Much below average · CMS overall · nat'l 3.0
#265 of 286
In-state rank among rated VA homes
3.51
Below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 2 serious

The verdict

River View on the Appomattox Health & Rehab Center, a 124-bed for profit - partnership nursing facility in Hopewell, VA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #265 of 286 rated homes in VA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#265 of 286
In-state rank among rated VA homes
3.51
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 289 VA nursing homes split by ownership sector

This facility is recorded as For profit - Partnership. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

1/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
495085
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
Beds
124
Residents
113
In Hospital
No
County
Hopewell City
Last Inspection
Mar 9, 2023
Abuse citation on record

Staffing Data

How the 3.51 total nursing hours per resident-day are staffed:

RN Hours
0.29 (nat'l avg: 0.69)
LPN Hours
1.19
CNA Hours
2.03
Total Nursing Hours
3.51 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
74.8%
RN Turnover
100.0%

What the CMS Record Reveals About River View on the Appomattox Health & Rehab Center

According to CMS Nursing Home Compare, River View on the Appomattox Health & Rehab Center ranks #265 of 286 rated nursing homes in VA on overall stars (tie-broken by health+staffing+quality, then fewer fines). River View on the Appomattox Health & Rehab Center operates 124 certified beds in Hopewell, VA with approximately 113 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 1★ · quality 3★).

The inspection file contains 50 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Per resident day, this facility reports 3.51 total nursing hours (national average 3.86) and 0.29 RN hours.

Classified as "For profit - Partnership" ownership and operating as a "Medicare and Medicaid" provider, River View on the Appomattox Health & Rehab Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 74.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm May 18, 2024 Tag: 0776

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Category: Administration Deficiencies

Corrected: Jul 29, 2024

D - Isolated - Minimal harm May 18, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jul 29, 2024

D - Isolated - Minimal harm May 18, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 29, 2024

D - Isolated - Minimal harm May 18, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 29, 2024

B - Pattern - No harm Mar 9, 2023 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 23, 2023

C - Widespread - No harm Mar 9, 2023 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0887

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.

Category: Infection Control Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0886

Perform COVID19 testing on residents and staff.

Category: Infection Control Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0553

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Category: Resident Rights Deficiencies

Corrected: Apr 23, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Apr 23, 2023

E - Pattern - Minimal harm Mar 9, 2023 Tag: 0839

Employ staff that are licensed, certified, or registered in accordance with state laws.

Category: Administration Deficiencies

Corrected: Apr 23, 2023

E - Pattern - Minimal harm Mar 9, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 23, 2023

E - Pattern - Minimal harm Mar 9, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 23, 2023

E - Pattern - Minimal harm Mar 9, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Apr 23, 2023

E - Pattern - Minimal harm Mar 9, 2023 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Apr 23, 2023

F - Widespread - Minimal harm Mar 9, 2023 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Apr 23, 2023

J - Isolated - Jeopardy Mar 9, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 23, 2023

K - Pattern - Jeopardy Mar 9, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 23, 2023

B - Pattern - No harm Feb 6, 2020 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Mar 11, 2020

D - Isolated - Minimal harm Feb 6, 2020 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 11, 2020

D - Isolated - Minimal harm Feb 6, 2020 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 11, 2020

D - Isolated - Minimal harm Feb 6, 2020 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 11, 2020

D - Isolated - Minimal harm Feb 6, 2020 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 11, 2020

D - Isolated - Minimal harm Feb 6, 2020 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2020

D - Isolated - Minimal harm Feb 6, 2020 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2020

D - Isolated - Minimal harm Feb 6, 2020 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2020

D - Isolated - Minimal harm Feb 6, 2020 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 11, 2020

D - Isolated - Minimal harm Feb 6, 2020 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 11, 2020

D - Isolated - Minimal harm Feb 6, 2020 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Mar 11, 2020

B - Pattern - No harm Apr 27, 2018 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 31, 2018

D - Isolated - Minimal harm Apr 27, 2018 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: May 31, 2018

D - Isolated - Minimal harm Apr 27, 2018 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: May 31, 2018

D - Isolated - Minimal harm Apr 27, 2018 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: May 31, 2018

D - Isolated - Minimal harm Apr 27, 2018 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: May 31, 2018

D - Isolated - Minimal harm Apr 27, 2018 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: May 31, 2018

D - Isolated - Minimal harm Apr 27, 2018 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: May 31, 2018

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 15.8% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.2% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 16.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.3% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 5.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.1% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 29.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 18.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 90.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 90.1% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for River View on the Appomattox Health & Rehab Center, both outside VA so the neighborhoods are not the same-state geography list below.

What the CMS records show for River View on the Appomattox Health & Rehab Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The VA registry aggregates state averages and the highest-rated homes in this cohort. View VA registry
  • Peer homes near 124 beds show how CMS stars vary at a similar scale in VA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for River View on the Appomattox Health & Rehab Center?
River View on the Appomattox Health & Rehab Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (3★).
Where does River View on the Appomattox Health & Rehab Center rank among nursing homes in VA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), River View on the Appomattox Health & Rehab Center ranks 265th among 286 rated nursing homes in VA (#265 of 286). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at River View on the Appomattox Health & Rehab Center?
River View on the Appomattox Health & Rehab Center reports 3.51 total nursing hours per resident day (national average: 3.86). RN hours are 0.29 per resident day (national average: 0.69). Nursing staff turnover is 74.8%.
How many beds does River View on the Appomattox Health & Rehab Center have?
River View on the Appomattox Health & Rehab Center has 124 certified beds with approximately 113 residents. The facility is located at 201 Epps Street, Hopewell, VA 23860.
Does River View on the Appomattox Health & Rehab Center have any deficiencies on record?
Yes, River View on the Appomattox Health & Rehab Center has 50 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has River View on the Appomattox Health & Rehab Center received any fines or penalties?
No, River View on the Appomattox Health & Rehab Center has no fines or penalties on record.
Who owns River View on the Appomattox Health & Rehab Center?
River View on the Appomattox Health & Rehab Center is classified as "For profit - Partnership" ownership. The facility type is "Medicare and Medicaid".
When was River View on the Appomattox Health & Rehab Center last inspected?
The most recent health inspection for River View on the Appomattox Health & Rehab Center was on Mar 9, 2023. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for River View on the Appomattox Health & Rehab Center?
River View on the Appomattox Health & Rehab Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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