SOUTHAMPTON MEMORIAL HOSP
Open-data reference.
SOUTHAMPTON MEMORIAL HOSP is a non profit - church related facility in FRANKLIN, VA with 129 certified beds and a 5-star overall CMS rating. The facility has 19 deficiency records on file.
100 FAIRVIEW DR, FRANKLIN, VA 23851
Phone: 7575696287
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 495157
- Ownership
- Non profit - Church related
- Provider Type
- Medicare and Medicaid
- Beds
- 129
- Residents
- 88
- In Hospital
- No
- County
- Franklin City
- Last Inspection
- Sep 22, 2023
Staffing Data
- RN Hours
- 1.03 (nat'l avg: 0.68)
- LPN Hours
- 0.49
- CNA Hours
- 2.41
- Total Nursing Hours
- 3.93 (nat'l avg: 3.89)
- PT Hours
- 0.03
- Nursing Turnover
- 28.2%
- RN Turnover
- 29.2%
What the CMS Record Reveals About SOUTHAMPTON MEMORIAL HOSP
SOUTHAMPTON MEMORIAL HOSP operates 129 certified beds in FRANKLIN, VA with approximately 88 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (5★), and quality measures (4★). 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.
The inspection file contains 19 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.93 total nursing hours per resident day (national average 3.89), with RN coverage at 1.03 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, SOUTHAMPTON MEMORIAL HOSP falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 28.2%, within a range generally associated with stable care teams. 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 details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (19 most recent)
Keep complete, dated laboratory records in the resident's record.
Category: Administration Deficiencies
Corrected: Oct 31, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 31, 2023
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: Oct 31, 2023
Keep complete, dated laboratory records in the resident's record.
Category: Administration Deficiencies
Corrected: Mar 27, 2020
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 27, 2020
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 27, 2020
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: Mar 27, 2020
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 27, 2020
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.
Category: Resident Rights Deficiencies
Corrected: Mar 27, 2020
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.
Category: Resident Rights Deficiencies
Corrected: Mar 27, 2020
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Mar 27, 2020
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Nov 30, 2018
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: Nov 30, 2018
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Nov 30, 2018
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: Nov 30, 2018
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: Nov 30, 2018
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 30, 2018
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 30, 2018
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 30, 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 | 9.1% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 11.0% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 2.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.7% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 81.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 28.8% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.9% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 33.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 97.7% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 51.6% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.7% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 21.0% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.3% | Yes |
Penalty History
No penalties on record.
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Frequently Asked Questions
What is the overall CMS rating for SOUTHAMPTON MEMORIAL HOSP?
What are the staffing levels at SOUTHAMPTON MEMORIAL HOSP?
How many beds does SOUTHAMPTON MEMORIAL HOSP have?
Does SOUTHAMPTON MEMORIAL HOSP have any deficiencies on record?
Has SOUTHAMPTON MEMORIAL HOSP received any fines or penalties?
Who owns SOUTHAMPTON MEMORIAL HOSP?
When was SOUTHAMPTON MEMORIAL HOSP last inspected?
What quality measures are tracked for SOUTHAMPTON MEMORIAL HOSP?
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. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.