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 River View On The Appomattox Health & Rehab Center during CMS and state inspections, most recent first.
A resident with a history of falls and on psychoactive medication fell in the bathroom after feeling dizzy. The facility failed to update the care plan with new interventions post-fall, despite policy requirements to do so. The care plan remained unchanged, not addressing the resident's dizziness or medication changes.
A resident experiencing shortness of breath and hypoxia had their vital signs ordered to be monitored every four hours. However, the facility staff recorded identical vital signs on multiple occasions, indicating a failure to conduct proper monitoring. This deficiency was noted during a survey, highlighting a lapse in adhering to professional standards of care.
A resident continued to receive meclizine despite a Nurse Practitioner's order to discontinue it. The order was placed, but the medication was administered until a later date. An LPN indicated that physicians sometimes enter discontinuation orders into the system, but this was not done in this case. The issue was reported to the Administrator, with no further information provided.
A resident with complex medical conditions did not receive timely diagnostic services as ordered by healthcare providers. The facility failed to schedule or document necessary appointments, including a sleep study and pulmonologist follow-up, leading to unmet medical needs after a hypoxic episode.
Failure to Update Care Plan After Resident Fall
Penalty
Summary
The facility staff failed to review and revise the care plan for a resident after a fall incident, which is a deficiency in care planning. The resident, who had a history of falls and was on psychoactive medication, experienced a fall in the bathroom after feeling dizzy. Despite the fall, the care plan was not updated to include new interventions or address the resident's dizziness and medication changes. The facility's fall prevention program requires a review and update of the care plan after a fall, but this was not done in this case. The resident's care plan initially included interventions such as assessing fall risk and encouraging the resident to call for assistance. However, after the fall, the care plan was not revised to reflect the resident's current condition or to add necessary interventions. The facility's policy states that the care plan should be a fluid document, updated as needed, but this was not adhered to. An LPN confirmed that care plans should be updated after a fall, but this was not done for the resident in question.
Failure to Monitor Vital Signs as Ordered
Penalty
Summary
The facility staff failed to provide care that meets professional standards of quality for a resident who was experiencing shortness of breath, hypoxia, chest pain, and vertigo. On March 5, 2024, a Nurse Practitioner ordered that the resident's vital signs be monitored every four hours due to these symptoms. However, a review of the clinical records revealed that the vital signs were recorded identically on several occasions, which is highly unlikely given the normal fluctuations in vital signs due to various factors such as positioning, stress, and medications. The identical recording of vital signs suggests that the monitoring was not conducted as ordered, potentially compromising the resident's care. The facility's failure to accurately monitor and document the resident's vital signs as per the medical order indicates a deficiency in adhering to professional standards of quality care. This issue was brought to the attention of the facility's Administrator during an end-of-day meeting on May 15, 2024, but no further information was provided at that time.
Failure to Discontinue Unnecessary Medication
Penalty
Summary
The facility staff failed to ensure that a resident's drug regimen was free from unnecessary medications. Specifically, the staff did not follow the Nurse Practitioner's order to discontinue meclizine for a resident who had requested its discontinuation due to vertigo. Despite the order being placed on 02/27/2024, the medication continued to be administered until 03/10/2024, as evidenced by the Medication Administration Record (MAR). An interview with an LPN revealed that while physicians sometimes enter orders to discontinue medications into the system, this process was not followed in this instance. The issue was brought to the attention of the Administrator during an end-of-day meeting on 05/15/2024, but no further information was provided.
Failure to Provide Timely Diagnostic Services for Resident
Penalty
Summary
The facility staff failed to provide timely diagnostic services for a resident who was admitted with multiple complex medical conditions, including chronic obstructive pulmonary disease, obstructive sleep apnea, and heart failure. The resident was discharged from a hospital with orders to obtain an outpatient sleep study and to follow up with a pulmonologist. However, the facility did not ensure these appointments were scheduled or attended. The resident experienced a hypoxic episode at the facility, prompting a Nurse Practitioner to order a home sleep study and other diagnostic tests, but there was no evidence that these were scheduled either. Interviews with facility staff revealed a lack of documentation and follow-through on scheduling and transportation arrangements for the resident's medical appointments. The scheduler, Employee D, could not find records of the appointments being scheduled or attended, and there was no documentation of any cancellations. The Administrator was informed of these issues, but no further information was provided to address the deficiency. This lack of action and documentation led to the failure in meeting the resident's diagnostic needs as ordered by healthcare providers.
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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 Hopewell
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wonder City Rehabilitation And Nursing Center | 2.5 mi | ★★★★★ | 21 | 1 |
| Colonial Heights Rehabilitation And Nursing Center | 6.2 mi | ★★★★★ | 5 | 0 |
| Petersburg Healthcare Center | 7.5 mi | ★★★★★ | 20 | 1 |
| Battlefield Park Healthcare Center | 8.3 mi | ★★★★★ | 2 | 0 |
| Hiram W Davis Medical Ctr | 9.9 mi | ★★★★★ | 6 | 0 |
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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.