| Northern Cardinal Rehabilitation and Nursing | |
| 4775 Bridge Road, Suffolk, Virginia 23435 | |
| (757) 686-0488 | |
| Name | Northern Cardinal Rehabilitation and Nursing |
|---|---|
| Location | 4775 Bridge Road, Suffolk, Virginia |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 120 |
| Occupancy Rate | 90.58% |
| Medicare ID (CCN) | 495206 |
| Legal Business Name | Northern Cardinal Rehabilitation and Nursing LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Eastern Healthcare Group (18 nursing homes) |
| Chain Average Overall Rating | 1.5 out of 5 |
| NPI Number | 1548028285 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Northern Cardinal Rehabilitation and Nursing LLC |
| Doing Business As | Northern Cardinal Rehabilitation and Nursing |
| Address | 4775 Bridge Rd, Suffolk, VA 23435 |
| Phone Number | 757-686-0488 |
| NPI Number | 1386210326 |
| Match | Possible same name, address or phone number |
| Organization Name | Suffolk VA Opco LLC |
| Doing Business As | Northern Cardinal Rehabilitation and Nursing |
| Address | 4775 Bridge Rd, Suffolk, VA 23435 |
| Phone Number | 757-686-0488 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.2 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.59 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.85 | 0.86 |
| Nurse aide hours per resident per day | 1.77 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.73 | 3.42 |
| RN hours per resident per day on the weekend | 0.29 | 0.48 |
| Physical therapist hours per resident per day | 0.07 | 0.07 |
| Total nursing staff turnover | 75.7% | 45.8% |
| Registered nurse turnover | 84.2% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jan 8, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jan 28, 2025 |
| Apr 14, 2023 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by May 16, 2023 |
| Apr 14, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by May 16, 2023 |
| Apr 14, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 16, 2023 |
| Apr 14, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 16, 2023 |
| Apr 14, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by May 16, 2023 |
| Apr 14, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by May 16, 2023 |
| Apr 14, 2023 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by May 16, 2023 |
| Apr 14, 2023 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2023 |
| Apr 14, 2023 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2023 |
| Apr 14, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2023 |
| Apr 14, 2023 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2023 |
| Apr 14, 2023 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2023 |
| Apr 14, 2023 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2023 |
| Apr 14, 2023 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2023 |
| Apr 14, 2023 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2023 |
| Apr 14, 2023 | Report COVID19 data to residents and families. F0885, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2023 |
| Apr 14, 2023 | 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. F0887, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2023 |
| Oct 3, 2019 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Nov 15, 2019 |
| Oct 3, 2019 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 15, 2019 |
| Oct 3, 2019 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 15, 2019 |
| Oct 3, 2019 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 15, 2019 |
| Oct 3, 2019 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 15, 2019 |
| Oct 3, 2019 | 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 15, 2019 |
| Oct 3, 2019 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 15, 2019 |
| Oct 3, 2019 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 15, 2019 |
| Oct 3, 2019 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Nov 15, 2019 |
| Mar 19, 2018 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Immediate jeopardy, isolated | Corrected by May 17, 2018 |
| Mar 19, 2018 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 17, 2018 |
| Mar 19, 2018 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by May 17, 2018 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.24 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.12 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.67 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.72 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 62.73 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.22 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 65.28 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 23.74 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 31.79 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.18 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.54 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 25.81 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.45 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.11 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 3.61 | 15.38 |
Nans Pointe Rehabilitation and Nursing Location: 200 West Constance Road, Suffolk, Virginia 23434 Phone: (757) 539-8744 |