Above 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 Health & Rehab Smithfield during CMS and state inspections, most recent first.
The facility staff failed to ensure residents were aware of the location of the list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups. During interviews, multiple residents and staff were unaware of this information, indicating a lack of communication and information dissemination.
The facility staff failed to ensure that a resident with intact cognitive abilities was given the opportunity to formulate an advance directive. Despite a thorough search by an RN and an LPN, no advance directive was found in the resident's medical record, and there was no evidence that the resident was offered the opportunity to create one.
The facility staff failed to review and revise the care plan to include hospice services for a resident with dementia and dysphagia. Despite being coded for hospice services in the MDS assessment, the care plan did not address these services, and hospice personnel did not have a consistent schedule for assisting the resident with meals.
The facility staff failed to date a multi-dose vial of Tuberculin, leading to uncertainty about its safe usage period. During a medication storage task, an opened bottle of Tuberculin was found without any indication of when it had been opened. RN #2 and RN #1 were unable to provide information on the opening date, and the biological was subsequently removed from use and discarded.
The facility staff failed to ensure proper communication and coordination of hospice services for a resident with dementia and dysphagia. Despite being coded for hospice services, there was no consistent method of communication between hospice staff and facility staff, particularly in assisting with meal consumption. Interviews revealed that hospice staff did not always assist with meals, and there was no written communication left or sent to the facility after visits.
Failure to Inform Residents of State Agencies and Advocacy Groups Contact Information
Penalty
Summary
The facility staff failed to ensure residents were aware of the location of the list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups. During a Resident Council interview, four residents were unable to verbalize the location of this list. Additionally, two randomly selected residents, one with a BIMS score of 14, also stated they were unaware of the listings. This indicates a lack of communication and information dissemination regarding important contact information for state agencies and advocacy groups. An interview with the Activity Director and the Assistant Activity Director revealed that they were unaware of the list's location. They later informed the surveyor that the listing was posted on the back hall near the rehabilitation department. During a final interview with the Administrator, Director of Nursing, and other administrative team members, the findings were shared, and they voiced no concerns regarding the identified issues during the survey.
Failure to Offer Advance Directive Opportunity
Penalty
Summary
The facility staff failed to ensure that Resident #5 was given the opportunity to formulate an advance directive. Resident #5, who was admitted to the nursing facility on 09/25/21 and diagnosed with Hypertension, had a quarterly revised Minimum Data Set (MDS) assessment on 02/06/24, which indicated intact cognitive abilities with a Brief Interview for Mental Status (BIMS) score of 12 out of 15. Despite this, a review of the clinical record revealed no advance directive for Resident #5. On 04/10/24, RN #1 was unable to locate an advance directive for Resident #5 in both the advance directive binder and the resident's medical record. Subsequently, on 04/11/24, LPN #1 provided a Do Not Resuscitate (DNR) order, which did not meet the criteria for an advance directive. LPN #1 confirmed that no advance directive was found in the resident's medical record nor was there evidence that the resident was offered the opportunity to formulate one. These findings were shared with the Administrator, Director of Nursing, and Corporate Consultant on 04/12/24, but no additional information was provided by the facility staff.
Failure to Include Hospice Services in Care Plan
Penalty
Summary
The facility staff failed to review and revise the person-centered care plan to include hospice services for a resident who had been admitted to the facility and had never been discharged. The resident, who had diagnoses including dementia and dysphagia, was coded for hospice services in the Minimum Data Set (MDS) assessment. Despite this, the facility's person-centered plan of care did not address hospice services within any identified problem. Interviews with the resident's family member and a registered nurse revealed that the resident was receiving hospice services, but the hospice personnel did not have a consistent schedule and were not scheduled to assist the resident with meals. The deficiency was identified during a survey where it was noted that the facility was without an MDS Coordinator, and a corporate person was temporarily assisting. The family member expressed uncertainty about the frequency of hospice assistance with meal consumption but noted an improvement in the resident's self-feeding. The facility's failure to include hospice services in the care plan was confirmed during interviews with the administrator, director of nursing, and other administrative team members, who voiced no concerns about the findings.
Failure to Date Multi-Dose Vial of Tuberculin
Penalty
Summary
The facility staff failed to ensure a multi-dose vial of Tuberculin, a purified protein derivative, was dated when opened, which is necessary to ensure it is discarded within 30 days and does not remain available for administration beyond its safe usage period. During a medication storage task, an opened bottle of Tuberculin was found in the medication refrigerator without any indication of when it had been opened. The date on the Tuberculin box label from the pharmacy was January 2024, but there was no date on the vial itself. RN #2 was unable to provide information on when the vial was opened or for whom it was opened, as neither the box nor the vial was dated. Further interviews with RN #1 revealed that the undated multi-dose vial of Tuberculin could be used for up to 30 days once opened. However, due to the lack of an opening date, RN #1 stated that the biological would be removed from use and discarded. During a final interview with the Administrator, Director of Nursing, and other administrative team members, the findings were shared, and they voiced no concerns. The facility did not ensure proper labeling and dating of the Tuberculin vial, leading to a deficiency in medication management and storage practices.
Lack of Coordination and Communication in Hospice Services
Penalty
Summary
The facility staff failed to ensure proper communication and coordination of hospice services for Resident #11, who was admitted on 4/15/22 and had diagnoses including dementia and dysphagia. The resident's Minimum Data Set (MDS) assessment indicated that she was dependent on staff for most activities of daily living and required set-up assistance with eating. Despite being coded for hospice services, there was no consistent method of communication between hospice staff and facility staff regarding the resident's care, particularly in assisting with meal consumption. Interviews with the resident's family member and facility staff revealed that the hospice staff did not always assist with meals during their visits, and there was no written communication left or sent to the facility after hospice visits. The family member noted the resident's weight loss and physical decline, which led to the physician recommending hospice services for additional meal assistance. However, the Registered Nurse (RN) and other staff could not confirm the frequency or effectiveness of hospice assistance, highlighting a lack of coordination and communication between hospice and facility staff.
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 179 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
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 Smithfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Newport Post Acute | 8.7 mi | ★★★★★ | 0 | 0 |
| Atlantic View Post Acute | 9.2 mi | ★★★★★ | 0 | 0 |
| Newport News Nursing & Rehab | 10.1 mi | ★★★★★ | 2 | 0 |
| Langley Post Acute | 10.7 mi | ★★★★★ | 0 | 0 |
| Riverside Lifelong H & R Warwick Forest | 10.9 mi | ★★★★★ | 7 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Riverside Lifelong Health & Rehab Smithfield.
100% money-back within 48 hours.
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.