Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Hiram W Davis Medical Ctr during CMS and state inspections, most recent first.
A facility failed to ensure monthly MRRs were completed for several residents. One resident with CHF, AFib, neurocognitive disorder, anxiety, agitation, PVD, psychosis, and visual hallucinations lacked an MRR for one month; another resident with schizoaffective disorder, chronic pain, depression, pain, and a breast cancer history lacked an MRR because the assigned pharmacist was out of the country. Two other residents, including one with schizoaffective disorder, bipolar disorder, and medication-related leukopenia and another with dementia and depression, had multiple missing MRRs over several months. The PD and pharmacists confirmed the missing reviews, and the facility policy required monthly pharmacist chart reviews documented in the EMR.
Call Bell Not Within Reach: A resident with blindness, hearing loss, schizoaffective schizophrenia, and impaired cognition was observed multiple times with the call bell on the floor behind the head of the bed while in bed and once while seated in a wheelchair beside the bed. The care plan included keeping the call light in reach, and a CNA stated it should be beside the resident. Facility policy required call bells to always be within reach when residents are in bed.
Failure to provide nail care: A resident with CVA, hemiplegia/hemiparesis, and moderate cognitive impairment was dependent for personal hygiene and had a care plan for ADL assistance. Surveyors observed long, sharp fingernails, and the resident stated staff had not trimmed them and that they sometimes cut him. Staff gave inconsistent answers about who provided nail care and how often it was done, despite the facility policy requiring daily inspection and twice-weekly checks.
Failure to Administer Ordered Medications: A resident with schizophrenia, bipolar disorder, depression, constipation, pain, and moderate cognitive impairment did not receive multiple ordered meds, including analgesic, psychotropic, bowel, skin, and topical treatments, during an evening med pass. The MAR for that shift was blank, the care plan directed staff to administer meds as ordered, and RN and DON leadership confirmed the meds were not documented as given and no explanation for the omission could be found.
Inaccurate MRR documentation was found for a resident with CHF, Afib, mild neurocognitive disorder, anxiety, agitation, PVD, psychosis, and visual hallucinations; the resident’s BIMS was 13/15. Multiple MRR forms were marked as having pharmacy recommendations even though the pharmacy director and pharmacist confirmed there were no irregularities, and the recommendations could not be located in the clinical record. The pharmacist stated they did not realize there was a box for no irregularities and had not been trained on the correct way to complete the form.
Missing Monthly Medication Regimen Reviews
Penalty
Summary
The facility failed to ensure that a licensed pharmacist completed monthly medication regimen reviews (MRRs) for multiple residents. For Resident #1, who had diagnoses including chronic heart failure, atrial fibrillation, mild neurocognitive disorder, anxiety, agitation, peripheral vascular disease, psychosis, and visual hallucinations, the record did not show an MRR for March 2025. The pharmacy director, pharmacist #1, and pharmacist #3 each confirmed that the March 2025 MRR had not been completed for this resident. For Resident #6, whose diagnoses included schizoaffective disorder, chronic pain syndrome, depression, pain, and a history of breast cancer, the record did not show an MRR for November 2025. The pharmacy director stated the review was not completed because the assigned pharmacist was out of the country, and pharmacist #2 confirmed the November 2025 MRR had not been completed for that reason. The resident’s most recent quarterly MDS indicated severe cognitive impairment. For Resident #4, who had diagnoses including schizoaffective disorder, bipolar disorder, and leukopenia caused by medication, the record did not contain MRRs for April, June, August, and September 2025. For Resident #5, who had diagnoses including dementia and depression, the record did not contain MRRs for April through September 2025. The pharmacy director stated she could not locate the missing MRRs and that the pharmacist responsible was no longer employed by the facility. The facility policy required the pharmacist to perform a monthly chart review and document the review in the EMR using the Drug Regimen Review form.
Call Bell Not Within Reach
Penalty
Summary
The facility failed to ensure a call bell was within reach for one sampled resident. Resident #21 had diagnoses including acquired blindness of both eyes, bilateral hearing loss, agitation, and schizoaffective schizophrenia. The resident’s most recent MDS, dated 01/27/26, coded long- and short-term memory problems with moderately impaired cognitive skills for daily decision making. The comprehensive care plan identified the resident as at risk for falls and included the intervention that the call light be in reach. Surveyors observed Resident #21 on 02/10/26 at 12:50 pm seated in a wheelchair beside the bed, with the call bell on the floor behind the head of the bed. The resident was observed again on 02/11/26 at 8:45 am and 1:30 pm lying in bed, and each time the call bell was still on the floor behind the head of the bed. A CNA stated the call bell should be right beside the resident. The facility policy stated that all residents shall always have access to a functioning call bell system and that call bells must always be within reach when residents are in bed. During discussion with the administrator and interim DON, the administrator stated it was unsure if the resident was capable of using the call bell and that 30-minute checks were done throughout the day.
Failure to Provide Nail Care
Penalty
Summary
The facility failed to provide nail care for one resident who was unable to perform activities of daily living independently. The resident had diagnoses including cerebrovascular accident and hemiplegia or hemiparesis, and the most recent MDS indicated moderate cognitive impairment and substantial/maximal assistance needed with personal hygiene. The care plan for self-care deficit included providing the appropriate level of assistance with ADLs. During observation, the resident was found resting in bed with fingernails that were long and sharp-edged. When asked, the resident stated staff did not assist with trimming the fingernails and said the nails were too long and sharp and sometimes cut him. The resident later stated the nails still had not been trimmed and showed the surveyor that they remained long. Staff interviews showed differing responses about who provided nail care and how often it was done, while the facility policy stated nails should be inspected daily during bathing and checked twice a week so they do not grow longer than one-eighth inch past the fingertips or toes.
Failure to Administer Ordered Medications
Penalty
Summary
Facility staff failed to follow provider orders for medication administration for one sampled resident. Resident #7 had diagnoses including pain of the left/right leg, schizophrenia, bipolar disorder, constipation, depression, and a soft tissue disorder. The resident’s most recent MDS showed a BIMS score of 11 out of 15, indicating moderate cognitive impairment. The provider had ordered multiple medications, including acetaminophen, chlorpromazine, divalproex sodium, docusate, duloxetine, eucerin calming cream, gabapentin, menthol-zinc oxide ointment, and senna, with scheduled administration times documented in the orders. A review of the January 2026 MAR showed the evening medication administration record for 1/20/26 was blank, indicating none of the ordered medications were administered as ordered that evening. The resident’s care plan included interventions for behavioral symptoms and bowel dysfunction that directed staff to administer medications as ordered. During interviews, RN #2 stated the MAR read “Not appropriate at this time” because the task had to be cleared before the next shift could enter medication administrations, and agreed the evening nurse had not marked the medications as given. The IDON later reviewed the MAR and agreed the medications were not given as ordered, and stated no evidence could be found explaining why the evening medications were not administered.
Inaccurate Documentation of Medication Regimen Reviews
Penalty
Summary
The facility failed to maintain an accurate clinical record for one sampled resident by incorrectly documenting medication regimen reviews (MRRs) as having irregularities when the reviews actually had no irregularities. Resident #1 had diagnoses including chronic heart failure, atrial fibrillation, mild neurocognitive disorder, anxiety, agitation, peripheral vascular disease, psychosis, and visual hallucinations, and the most recent annual MDS showed a BIMS score of 13 out of 15, indicating the resident was cognitively intact. The resident’s MRRs for 2/21/25, 4/10/25, 5/15/25, 6/16/25, 7/25/25, 8/29/25, 9/18/25, 10/17/25, 11/12/25, 12/16/25, and 1/22/26 were documented with pharmacy recommendations, but the recommendations could not be located in the clinical record. During interview, the pharmacy director stated there were no irregularities for those MRRs and agreed the forms were marked incorrectly and should have been marked as no irregularities. A pharmacist also agreed the MRRs had no irregularities and stated they did not realize there was a box for no irregularities, explaining they were never trained on the correct way to document on the form. The facility policy titled Chart Review and Provider Notification of Irregularities stated that if irregularities are not identified, the pharmacist shall mark the form as such.
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What surveyors actually found near you
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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.
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Nursing homes near Petersburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Dinwiddie Health And Rehab Center | 3.1 mi | ★★★★★ | 1 | 0 |
| Petersburg Healthcare Center | 3.7 mi | ★★★★★ | 20 | 1 |
| Colonial Heights Rehabilitation And Nursing Center | 4.3 mi | ★★★★★ | 5 | 0 |
| Battlefield Park Healthcare Center | 4.3 mi | ★★★★★ | 2 | 0 |
| Wonder City Rehabilitation And Nursing Center | 7.4 mi | ★★★★★ | 21 | 1 |
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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.