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 Riverside Lifelong H & R Warwick Forest during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and recent fractures, identified as a fall risk and requiring partial/moderate assistance for ambulation, was left unsupervised and experienced an unwitnessed fall in another resident's room. The fall resulted in multiple injuries, including fractures and a skin tear. Staff interviews revealed inadequate staffing and poor communication regarding the resident's supervision needs, leading to the failure to prevent the accident.
The facility did not ensure that services provided met professional standards of quality, as evidenced by practices and care delivery that did not align with established guidelines.
A resident in need of pain management did not receive safe and appropriate pain control, as the facility failed to address the resident's pain according to their needs.
The facility did not ensure pharmaceutical services were provided to meet each resident's needs and failed to employ or obtain a licensed pharmacist, resulting in a lack of required pharmaceutical oversight.
Facility staff did not maintain required hospice nurses' notes and care documentation for two residents receiving hospice care, despite agreements mandating complete records. In both cases, necessary clinical records were missing from the residents' files, and staff interviews confirmed the absence of these documents.
Staff did not promptly inform a resident's family representative about the discovery of two new pressure ulcers, despite the care plan requiring such notification. Although the family was notified of a fall, they were not told about the wounds until much later, and only hospice was contacted at the time of discovery.
A resident with recent spinal surgery and mild cognitive impairment did not receive timely toileting assistance upon request, resulting in incontinence episodes. The resident required partial to full assistance for transfers and relied on a Stedy lift, but staff were often unavailable or unable to locate the lift, leading to delays. The resident was encouraged to use incontinence briefs due to these issues, despite being aware of her toileting needs.
Failure to Provide Adequate Supervision Resulting in Resident Fall and Injury
Penalty
Summary
Facility staff failed to provide adequate supervision to prevent accidents for a resident with significant cognitive and physical impairments. The resident had a history of vascular dementia, muscle weakness, and recent fractures, and was assessed as requiring partial/moderate assistance for ambulation, meaning staff were expected to physically assist and supervise the resident while walking. The care plan identified the resident as a fall risk and included interventions such as assisting with ambulation and transfers, and following therapy recommendations for supervision. Despite these documented needs, the resident experienced an unwitnessed fall in another resident's room, resulting in a closed nondisplaced fracture of the second cervical vertebra and a closed nondisplaced intertrochanteric fracture of the right femur, as well as a skin tear. Staff interviews revealed that the resident was not being supervised at the time of the fall, and that there was insufficient staffing on the memory care unit to provide the required level of supervision. The LPN on duty reported that only two CNAs were available, which was not enough to ensure proper supervision of all residents, particularly those at high risk for falls. Further interviews indicated a lack of communication regarding the resident's need for assistance with ambulation. A CNA stated that staff were not aware the resident required partial/moderate assistance, and that such information was not communicated to CNAs. The therapy team also confirmed the resident required supervision and occasional verbal cues while using a walker. Documentation and staff statements consistently showed that the resident's need for supervision was known but not implemented at the time of the incident, directly leading to the fall and resulting injuries.
Failure to Meet Professional Standards of Quality
Penalty
Summary
The nursing facility failed to ensure that services provided met professional standards of quality. This deficiency was identified based on observations and review of facility practices, which did not align with established professional guidelines for care delivery. The report notes that the facility did not maintain the expected level of quality in the provision of services, as required by regulatory standards.
Failure to Provide Safe and Appropriate Pain Management
Penalty
Summary
A resident who required pain management services did not receive safe and appropriate pain management. The facility failed to ensure that the resident's pain was properly addressed according to their needs.
Failure to Provide Pharmaceutical Services and Licensed Pharmacist Oversight
Penalty
Summary
The facility failed to provide pharmaceutical services to meet the needs of each resident and did not employ or obtain the services of a licensed pharmacist. This deficiency was identified during the survey process, indicating that the required pharmaceutical oversight and services were not in place for residents as mandated.
Failure to Maintain Required Hospice Documentation for Residents
Penalty
Summary
Facility staff failed to provide necessary hospice documentation for two residents who were receiving hospice care. For one resident with severe cognitive impairment and multiple pressure ulcers, hospice nurses' notes and wound care measurements were not found in the medical record. Despite requests from surveyors and statements from both facility staff and the hospice nurse that such documentation should be available or could be provided, the records remained incomplete. The hospice agreement between the facility and the hospice provider required maintenance and retention of complete medical records, including current clinical findings, but these were not present in the resident's binder or electronic record. For another resident with late-stage Alzheimer's disease and other significant health issues, hospice nurses' notes and the comprehensive care plan were also missing from the electronic clinical record. The resident had been admitted, discharged, and readmitted to hospice services, and required substantial assistance with daily activities. Interviews with the administrator and hospice nurse confirmed that the required documentation was not in the resident's binder, and the hospice nurse indicated that notes were kept in their own system and only faxed to the facility upon request. In both cases, the facility did not maintain complete and appropriate medical records as stipulated in the hospice agreement. The lack of hospice nurses' notes and other required documentation was confirmed through observation, staff interviews, clinical record review, and facility document review. These deficiencies were communicated to facility leadership during surveyor interviews and meetings, but no additional information or documentation was provided prior to the survey exit.
Failure to Notify Family of Newly Identified Pressure Ulcers
Penalty
Summary
Facility staff failed to notify a resident's family representative of two pressure ulcers that were identified on the resident. The resident, who had a history of cerebral vascular disease and was assessed as having severely impaired cognitive abilities, was dependent on staff for most activities of daily living. On the morning of the incident, the resident experienced a fall, and the family was notified of this event. However, later that same day, staff identified an unstageable wound to the sacral area and a stage 2 wound to the buttocks, but there was no documentation or evidence that the family representative was informed of these new pressure ulcers at the time they were discovered. Interviews and record reviews confirmed that the wounds were first identified in the evening, and although hospice was notified, the resident's daughter was not informed until nearly two weeks later. Staff interviews revealed assumptions that the family had been notified, but a chart audit showed otherwise. The care plan for the resident specifically included the intervention to inform the resident and family of any new skin breakdowns, but this was not followed in this instance. The deficiency centers on the lack of timely communication to the family regarding significant changes in the resident's condition.
Failure to Provide Timely Toileting Assistance
Penalty
Summary
Facility staff failed to provide timely toileting assistance upon request for one resident who was recently admitted following an acute care hospital stay. The resident had undergone an L2-L5 laminectomy and fusion and experienced left upper extremity edema due to a superficial vein thrombosis. Assessments indicated mild cognitive impairment and partial to moderate assistance required for mobility, with dependency for sit-to-stand and transfer activities. The resident was not attempted for toilet or shower transfers due to medical or safety concerns, and a note in the room indicated a need for two-person assistance with a Stedy lift for transfers. The resident reported frequent incidents where staff did not respond in time to her requests for toileting, resulting in accidents, including an episode of diarrhea that soiled her back. She stated that staff encouraged her to wear incontinence briefs due to these delays and that the inability to locate the required lift or lack of available staff contributed to the problem. The resident expressed concern about regaining independence in toileting before discharge, as she would not have assistance at home. Staff interviews confirmed that information about transfer needs was communicated via the whiteboard in the resident's room.
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 145 citations issued within 25 miles in the last 12 months — including the 4 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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Newport News
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Old Dominion Rehabilitation And Nursing | 1.6 mi | ★★★★★ | 22 | 1 |
| Newport News Nursing & Rehab | 1.6 mi | ★★★★★ | 2 | 0 |
| Regency Health And Rehabilitation Center | 4.1 mi | ★★★★★ | 2 | 0 |
| The Chesapeake | 4.5 mi | ★★★★★ | 14 | 0 |
| York Post Acute | 5.2 mi | ★★★★★ | 0 | 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.