Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Appomattox Health & Rehabilitation Center during CMS and state inspections, most recent first.
A resident did not receive treatment and care in accordance with physician orders and their own preferences and goals, as observed by surveyors during the review of care practices.
A resident experienced a significant medication error due to a failure in the medication administration process.
Facility staff did not submit the findings of an abuse investigation involving a resident with severe cognitive impairment and a CNA to the state agency, despite completing an internal review and having a policy requiring submission within five working days. The administrator could not provide evidence that the final report was sent, and the deficiency was confirmed through interviews and document review.
A resident with severe cognitive impairment and multiple medical conditions was found with unexplained abrasions. The facility's investigation did not include statements from staff on duty when the injury was discovered, and one staff statement lacked identifying details. The investigation did not meet the facility's policy requirements for thoroughness.
Facility staff failed to complete the cognitive section of the MDS for a resident with multiple complex diagnoses. The required assessment for cognitive patterns, including the BIMS and staff assessment, was not performed during the designated look-back period, resulting in the section being marked as 'not assessed.' This was confirmed by the RN MDS coordinator during staff interview and review of clinical records.
A resident with multiple complex medical conditions and severely impaired cognition had a documented family request to avoid male caregivers. Despite staff awareness of this preference, the care plan was not updated to reflect it, as confirmed by the RN MDS coordinator during the survey.
A resident with severe cognitive impairment and a history of falls was observed in bed without the fall mats required by their care plan. Staff interviews revealed that the CNA was unaware of the need for fall mats and that communication about this intervention was lacking, resulting in the omission of a key fall prevention measure.
A resident with severe cognitive impairment and multiple medical conditions was involved in an incident where allegations of rough handling and sexual abuse by staff were reported. Although a thorough assessment was performed and appropriate parties were notified, the required documentation of the assessment and actions taken was not entered into the clinical record by nursing staff or the DON.
Failure to Follow Treatment Orders and Resident Preferences
Penalty
Summary
The facility failed to provide appropriate treatment and care according to physician orders, as well as the resident's preferences and goals. This deficiency was identified through surveyor observation and review of care practices, which revealed that care provided did not align with established orders or the expressed wishes and objectives of the resident. Specific details regarding the resident's medical history or condition at the time of the deficiency are not provided in the report.
Significant Medication Error Occurred
Penalty
Summary
Residents were not ensured to be free from significant medication errors. The report identifies that there was at least one instance where a resident received a significant medication error, indicating a failure in the medication administration process. Specific details about the actions or inactions leading to the error, as well as information about the resident's medical history or condition at the time, are not provided in the report.
Failure to Submit Abuse Investigation Findings to State Agency
Penalty
Summary
Facility staff failed to submit the findings of an abuse investigation to the state agency as required by both facility policy and regulatory requirements. An incident involving an allegation of sexual misconduct between a resident with severe cognitive impairment and a certified nurse's aide was initially reported to the state agency. The facility completed its internal investigation and documented that the allegation was not substantiated, but there was no evidence that the final investigation report was sent to the state agency. During interviews, the administrator indicated a belief that the former DON had submitted the findings, but upon review, no documentation could be produced to confirm that the final report was sent. The facility's own policy requires that a complete written report of the investigation be filed with the state agency within five working days of the incident. This deficiency was confirmed through staff interviews, document review, and clinical record review, with no further information provided by facility leadership prior to the end of the survey.
Failure to Conduct Thorough Investigation of Injury of Unknown Origin
Penalty
Summary
Facility staff failed to conduct a thorough investigation regarding an injury of unknown origin for a resident with multiple diagnoses, including psychotic disorder, depression, hypertension, anorexia, dementia with behavioral disturbance, and dysphagia. The resident was assessed as having severely impaired cognitive skills and was unable to verbalize the cause of the injuries, which included abrasions on the left forehead and over the right eyebrow. The incident was documented in the clinical record, and the family was notified. The injury was reported to the state agency, and investigation findings were submitted. Upon review, the facility's investigation included written statements from staff who worked after the injury was identified and from one CNA who worked the previous night shift. However, there were no written statements obtained from staff working the shift when the injury was discovered. One statement lacked identifying information such as employee name, job title, or shift worked. Interviews with the administrator and former DON revealed that statements were only obtained from certain shifts, and the facility's policy requiring a thorough investigation, including interviewing all relevant staff, was not followed.
Incomplete MDS Cognitive Assessment
Penalty
Summary
Facility staff failed to provide a complete and accurate Minimum Data Set (MDS) assessment for one resident. The resident was admitted with multiple diagnoses, including metabolic encephalopathy, dysphagia, anemia, protein-calorie malnutrition, asthma, cognitive communication deficit, hypothyroidism, myocardial infarction, and hypertension. The MDS assessment dated [DATE] indicated that the section for cognitive patterns (Section C), which includes the Brief Interview for Mental Status (BIMS) and staff assessment of mental status, was not completed. All items in this section were marked as 'not assessed.' During an interview, the RN MDS coordinator confirmed that the cognitive section of the MDS had not been completed because the required assessment was not performed during the designated 7-day look-back period. The Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual specifies that the cognitive interview should be attempted with all residents during the look-back period, regardless of their ability to make themselves understood. This deficiency was confirmed through staff interview and clinical record review, with no additional information provided by facility leadership before the end of the survey.
Failure to Update Care Plan with Resident's Caregiver Preference
Penalty
Summary
Facility staff failed to review and revise the comprehensive care plan for one of six residents in the survey sample. The resident was admitted with multiple diagnoses, including metabolic encephalopathy, dysphagia, anemia, protein-calorie malnutrition, asthma, cognitive communication deficit, hypothyroidism, myocardial infarction, and hypertension, and was assessed as having severely impaired cognitive skills. A nursing note documented that a family member requested the resident not have male caregivers if possible. However, the care plan, last revised on 7/21/25, did not include this preference. During an interview, the RN MDS coordinator confirmed that the preference was not documented in the care plan, although staff were aware of it. No additional information was provided by the facility prior to the end of the survey.
Failure to Provide Fall Mats as Required in Care Plan
Penalty
Summary
Facility staff failed to implement a required fall prevention intervention for a resident with multiple risk factors for falls and injury. The resident, who had diagnoses including psychotic disorder, depression, hypertension, anorexia, dementia with behavioral disturbance, and dysphagia, was assessed as having severely impaired cognitive skills and a history of falls. The resident's care plan, revised days prior to the survey, specified the use of bilateral fall mats as an intervention for fall and injury prevention. However, during multiple observations, the resident was found in bed without fall mats in place. Interviews with the certified nurse's aide and registered nurse revealed a lack of awareness and communication regarding the care plan requirement for fall mats, resulting in the intervention not being implemented as directed.
Failure to Document Assessment and Actions Following Abuse Allegation
Penalty
Summary
Facility staff failed to ensure a complete and accurate clinical record for one resident following allegations of rough handling and sexual abuse. The resident, who had multiple diagnoses including metabolic encephalopathy, dysphagia, anemia, protein-calorie malnutrition, asthma, cognitive communication deficit, hypothyroidism, myocardial infarction, and hypertension, was assessed as having severely impaired cognitive skills. An incident was reported involving allegations of sexual misconduct by a staff member, and while a skin assessment was documented, there was no documentation in the clinical record regarding a physical assessment or actions taken in response to the allegations. Interviews with staff revealed that a registered nurse performed a thorough assessment of the resident, including the genital area, and reported the incident to the DON, administrator, physician, and police. However, neither the nurse nor the DON documented these actions in the resident's clinical record. The administrator and former DON confirmed that the required documentation was missing, with the DON stating that the nurse should have entered the assessment and actions into the electronic health record, but this was not done. The only documentation related to the incident was found in the investigation file, not in the resident's clinical record.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 28 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Appomattox
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Guggenheimer Health And Rehab Center | 17.8 mi | ★★★★★ | 3 | 0 |
| Liberty Ridge Health & Rehab | 19.2 mi | ★★★★★ | 0 | 0 |
| Forest Health & Rehab Center | 19.5 mi | ★★★★★ | 1 | 0 |
| Lynchburg Health & Rehabilitation Center | 19.6 mi | ★★★★★ | 5 | 0 |
| Fairmont Crossing Health And Rehab Center | 19.7 mi | ★★★★★ | 6 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.